med surg 2 final exam (test bank) CERTIFICATION
GUIDE
FOR 2025/2026 TESTS|MOST COMMON
QUESTIONS WITH CORRECTLY VERIFIED ANSWERS
(LATEST QUIZZES) |ALREADY A+
GRADED|GUARANTEED PASS
The nurse is preparing for a home visit to a patient after surgery for a compound fracture.
Which specific care does the nurse anticipate for this patient? - Changing wound
dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and
placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of
diabetes mellitus. Which condition does the nurse recognize as a possible complication for this
patient? - Delay or absence of healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - Medicated with oral pain
medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time? - Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture.
Which neurologic finding does the nurse report immediately to the HCP or registered nurse
(RN)? - There exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding of the action of this medication? - "It
blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity
amputation. Which factor does the nurse keep in mind about this type of amputation being
,more debilitating than a lower extremity amputation? - The upper extremity is more
specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension
skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot
dorsiflexion. Which action does the nurse take? - Notify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a
traumatic bone fracture. The patient has an open wound that is infected. Which observation
prompts the nurse to provide additional information to the patient and family? - Clean
technique is used when the dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture. The
nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli? - Presence of a petechial
rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at promoting
health in women. Which reason does the nurse recognize as a probable cause of an increase in
the incidence of osteoporosis? - The ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of the
ulna. Which manifestation does the nurse recognize as an early symptom of acute compartment
syndrome? - Pallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation? - Lying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which
information will the nurse provide to the client regarding the use of a prosthesis? - Skin
inspection is performed each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe
bone damage. Which is the most important focus for the nurse during care of this patient? -
Monitoring pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must
remember in which way RA care is different from osteoarthritis care. Which nursing care does
the nurse specifically provide for the patient with RA? - It is essential to monitor all body
systems for effects of the disease.
,The nurse is assisting with patients on an orthopedic unit. Which is an important factor to
remember when caring for patients after a total hip replacement? - A triangular pillow is
used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery. Which
action is unnecessary for the patient after a total knee replacement (TKR)? - Maintain
proper joint alignment.
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.) - Early morning stiffness
Autoimmune disease
Low-grade fever
The nurse is collecting data from a patient suspected of developing a fat embolus from a
fracture of the right femur. Which manifestations does the nurse expect? (Select all that
apply.) - Tachycardia
Mental confusion
Petechiae
The patient asks the nurse how much blood is in the body. Which response by the nurse is
accurate? - 4-6 liters
The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which result
would concern the nurse the most? - Platelets 50,000/mm3
The nurse is taking a health history and notes the patient has a history of a splenectomy. For
which condition is this patient at risk? - Meningitis
The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The nurse
should plan to prepare the patient for which test? - A complete blood count (CBC)
The nurse is reviewing laboratory values for a female patient and notes a hemoglobin level
of 8.2 g/100 mL and a hematocrit level of 21%. These levels are found in patients with
which condition? - Anemia
A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the
patient's vital signs were blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after
the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which
, assessment is the least important for the patient at this time? - Check the patient's most
recent CBC report.
The nurse is caring for a group of patients. Which patient should the nurse see first? - A
patient with an RBC count of 2.4 million/mm3
A patient is prescribed to receive two units of packed red blood cells (PRBCs). What approach
should the nurse use to ensure that the correct blood will be provided to this patient? -
Follow the organization's verification process.
A patient is being prepared to receive a prescribed blood transfusion. What is the best way that
the licensed practical nurse (LPN) can assist the health team to prevent a transfusion reaction? -
Assist the registered nurse (RN) to correctly identify the patient and the blood product.
The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role of the
licensed practical nurse/licensed vocational nurse (LPN/LVN) in this patient's care? -
Monitor the site for bleeding and infection.
A patient who underwent lymphangiography the day before asks the LPN, "Why does my urine
look blue?" What should the LPN respond to this patient's concern? - The dye used in the
procedure may cause bluish skin and urine for 2 days."
The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at risk for this
condition? - A patient who drinks alcohol daily
The nurse is preparing a patient for a blood transfusion. The patient has type O blood. Which
blood type can this patient receive? - Type O
The nurse is caring for a patient with a clotting disorder. Which should the nurse plan to
administer? - Fresh frozen plasma (FFP)
While receiving a unit of PRBCs, the patient begins to experience hives around the neck and
upper chest. What actions should the nurse perform because of this reaction? (Select all that
apply.) - Stop the transfusion.
Notify the HCP.
Administer prescribed antihistamines.
Restart the infusion and carefully monitor
The nurse is caring for a patient with anemia. Which clinical manifestations can the nurse expect
to document? (Select all that apply.) - Pallor
GUIDE
FOR 2025/2026 TESTS|MOST COMMON
QUESTIONS WITH CORRECTLY VERIFIED ANSWERS
(LATEST QUIZZES) |ALREADY A+
GRADED|GUARANTEED PASS
The nurse is preparing for a home visit to a patient after surgery for a compound fracture.
Which specific care does the nurse anticipate for this patient? - Changing wound
dressings
A patient experiences a fracture of the lower leg and undergoes a closed reduction and
placement of a fiberglass cast. The patient is 65 years old and has a medical 30-year history of
diabetes mellitus. Which condition does the nurse recognize as a possible complication for this
patient? - Delay or absence of healing
An older adult patient is postoperative for a total hip joint replacement. Which nursing care is
inappropriate for this patient on the day of surgery? - Medicated with oral pain
medications
The nurse is providing care for a patient who is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this time? - Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a compound fracture.
Which neurologic finding does the nurse report immediately to the HCP or registered nurse
(RN)? - There exists numbness and tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding of the action of this medication? - "It
blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper extremity
amputation. Which factor does the nurse keep in mind about this type of amputation being
,more debilitating than a lower extremity amputation? - The upper extremity is more
specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced suspension
skeletal traction with 35 pounds of weight. The patient reports calf pain with right foot
dorsiflexion. Which action does the nurse take? - Notify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower extremity from a
traumatic bone fracture. The patient has an open wound that is infected. Which observation
prompts the nurse to provide additional information to the patient and family? - Clean
technique is used when the dressing is changed.
The nurse is providing care for a patient being treated after a complicated femur fracture. The
nurse has noticed drowsiness, tachycardia, and a low-grade fever. Which additional
manifestation alerts the nurse to the possibility of a fat emboli? - Presence of a petechial
rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at promoting
health in women. Which reason does the nurse recognize as a probable cause of an increase in
the incidence of osteoporosis? - The ages of adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a fracture of the
ulna. Which manifestation does the nurse recognize as an early symptom of acute compartment
syndrome? - Pallor with extremity warmth
The nurse is providing care for a patient after an above-the-knee amputation because of
ischemia related to diabetes mellitus complications. Which nursing care is essential for
promoting ambulation? - Lying on the abdomen as prescribed
A patient is being prepared for a prosthesis following surgery for an amputation. Which
information will the nurse provide to the client regarding the use of a prosthesis? - Skin
inspection is performed each time the sock is removed.
The nurse is providing care for a patient with external fixation for a fracture involving severe
bone damage. Which is the most important focus for the nurse during care of this patient? -
Monitoring pin and wound sites for signs of infection
The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). The nurse must
remember in which way RA care is different from osteoarthritis care. Which nursing care does
the nurse specifically provide for the patient with RA? - It is essential to monitor all body
systems for effects of the disease.
,The nurse is assisting with patients on an orthopedic unit. Which is an important factor to
remember when caring for patients after a total hip replacement? - A triangular pillow is
used between the legs to avoid adduction.
The nurse is assisting with the care of patients who have had joint replacement surgery. Which
action is unnecessary for the patient after a total knee replacement (TKR)? - Maintain
proper joint alignment.
A patient asks the difference between osteoarthritis and RA. Which manifestations does the
nurse explain are characteristic of RA? (Select all that apply.) - Early morning stiffness
Autoimmune disease
Low-grade fever
The nurse is collecting data from a patient suspected of developing a fat embolus from a
fracture of the right femur. Which manifestations does the nurse expect? (Select all that
apply.) - Tachycardia
Mental confusion
Petechiae
The patient asks the nurse how much blood is in the body. Which response by the nurse is
accurate? - 4-6 liters
The nurse is reviewing laboratory values for a patient with thrombocytopenia. Which result
would concern the nurse the most? - Platelets 50,000/mm3
The nurse is taking a health history and notes the patient has a history of a splenectomy. For
which condition is this patient at risk? - Meningitis
The nurse is caring for a patient who reports feeling several enlarged lymph nodes. The nurse
should plan to prepare the patient for which test? - A complete blood count (CBC)
The nurse is reviewing laboratory values for a female patient and notes a hemoglobin level
of 8.2 g/100 mL and a hematocrit level of 21%. These levels are found in patients with
which condition? - Anemia
A patient has a bone marrow aspiration from the posterior iliac crest. Before the procedure, the
patient's vital signs were blood pressure 132/82 mm Hg and pulse 88 beats/min. One hour after
the procedure, the blood pressure is 108/70 mm Hg and pulse is 96 beats/min. Which
, assessment is the least important for the patient at this time? - Check the patient's most
recent CBC report.
The nurse is caring for a group of patients. Which patient should the nurse see first? - A
patient with an RBC count of 2.4 million/mm3
A patient is prescribed to receive two units of packed red blood cells (PRBCs). What approach
should the nurse use to ensure that the correct blood will be provided to this patient? -
Follow the organization's verification process.
A patient is being prepared to receive a prescribed blood transfusion. What is the best way that
the licensed practical nurse (LPN) can assist the health team to prevent a transfusion reaction? -
Assist the registered nurse (RN) to correctly identify the patient and the blood product.
The nurse is caring for a patient who underwent a bone marrow biopsy. What is the role of the
licensed practical nurse/licensed vocational nurse (LPN/LVN) in this patient's care? -
Monitor the site for bleeding and infection.
A patient who underwent lymphangiography the day before asks the LPN, "Why does my urine
look blue?" What should the LPN respond to this patient's concern? - The dye used in the
procedure may cause bluish skin and urine for 2 days."
The nurse is caring for a patient with folic acid deficiency anemia. Which patient is at risk for this
condition? - A patient who drinks alcohol daily
The nurse is preparing a patient for a blood transfusion. The patient has type O blood. Which
blood type can this patient receive? - Type O
The nurse is caring for a patient with a clotting disorder. Which should the nurse plan to
administer? - Fresh frozen plasma (FFP)
While receiving a unit of PRBCs, the patient begins to experience hives around the neck and
upper chest. What actions should the nurse perform because of this reaction? (Select all that
apply.) - Stop the transfusion.
Notify the HCP.
Administer prescribed antihistamines.
Restart the infusion and carefully monitor
The nurse is caring for a patient with anemia. Which clinical manifestations can the nurse expect
to document? (Select all that apply.) - Pallor
