MED SURG III FINAL EXAM 2025/2026
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
A client has been admitted to the hospital for Gastroenteritis and dehydration.
The nurse determines that the client has received adequate volume replacement
if the blood urea nitrogen (BUN) level drop to which value?
A. 3mg/dL
B. 15mg/dL
C. 29 mg/dL
D. 35mg/dL
B. 15mg/dL
Rationale:
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
The normal BUN level is 10 to 20 mg/dL. Values of 29mg/dL and 35mg/dL reflect
continued dehydration. A value of 3mg/dL reflects a lower than normal value,
which may occur with fluid volume overload, among other conditions.
The nurse is teaching a client who has iron deficiency anemia about foods she
should include in their diet. The nurse determines that the client understands the
dietary modifications if which items are selected from the menu?
A. Nuts and milk
B. Coffee and tea
C. Cooked rolled oats and fish
D. Oranges and dark green leafy vegetables
D. Oranges and dark green leafy vegetables.
Rationale:
Dark green leafy vegetables are a good source of iron, and oranges are a good
source of Vitamin C, which enhances iron absorption. All other options are not
high enough in iron and Vitamin C.
The nurse instructs a client with Chronic Kidney Disease (CKD) who is receiving
hemodialysis about dietary modifications. The nurse determines the client
understand these dietary modifications if the client selects which item from the
dietary menu?
A. Cream of wheat, blueberries, coffee
B. Sausage and eggs, banana, orange juice
C. Bacon, cantaloupe melon, tomato juice
D. Cured pork, grits, strawberries, orange juice
A. Cream of wheat, blueberries, coffee
Rationale:
The diet for a client which Chronic Kidney Disease who is receiving hemodiaylsis
should include controlled amounts of sodium, phosphorus, calcium, potassium,
and fluids. The food items in the remaining options are high in sodium,
phosphorus, and/or potassium
The nurse is caring for a client with Cirrhosis of the liver. To minimize the effects
of the disorder, the nurse teaches about foods that are high in Thiamine. The
nurse understanding of the dietary measures to follow if the client states an
intention to increase the intake of which food?
A. Milk
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
B. Chicken
C. Broccoli
D. Legumes
D. Legume
Rationale:
The client with cirrhosis needs to consume foods high in Thiamine. Legumes are
especially rich in Thiamine. Other good food sources include nuts, whole grain
cereals, and pork.
.!
The nurse is providing instructions to a client and the family regarding home care
after right eye cataract removal. Which statement by the client would indicate an
understanding of the instructions?
A. "I should sleep on my left side."
B. "I should sleep on my right side."
C. "I should sleep with my head flat."
D. "I should not wear my glasses at any time."
A. "I should sleep on my left side."
Rationale:
After cataract surgery, the client should not sleep on the side of the body that was
operated on to prevent edema formation and intraocular pressure. The client
should be placed in a semi-fowler's position to assist in minimizing edema and
intraocular pressure. During the day, the client may wear glasses or a protective
shield; at night, the protective shield alone is sufficient.
.!
A 2-year old child is treated in the ER for a burn to the chest and abdomen. The
child sustained the burn by grabbing a cup of hot coffee that was left on the
kitchen counter. The nurse reviews safety principles with the parents before
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
discharge. Which statement by the parents indicated an understanding of
measures to provide safety in the home?
A. "We will be sure not to leave hot liquids unattended."
B. "I guess our children need to understand what the words hot means."
C. "We will be sure that the children stay in their rooms when we work in the
kitchen."
D. "We will install a safety gate as soon as we get home so the children cannot get
into the kitchen."
A. "We will be sure not to leave hot liquids unattended."
Rationale:
Toddlers, with their increased mobility and development of motor skills, can reach
hot water or hot objects placed on counters and stoves and can reach open fires
or stove burners above their eye level. The nurse should encourage parents to
remain in the kitchen while preparing coffee and other hot items. Always turn pan
handles on the stove inward, and toward the middle of the stove. All other options
are not reasonable.
.!
The nurse is providing instructions to a pregnant client with a hx of cardiac
disease regarding appropriate dietary measures. Which statement, if made by the
client, indicates an understanding of the information provided by the nurse?
A. "I should increase my sodium intake during pregnancy."
B. "I should lower my blood volume by limiting my fluids."
C. "I should maintain a low-calorie diet to prevent any weight gain."
D. "I should drink adequate fluids and increase my intake of high-fiber foods."
D. "I should drink adequate fluids and increase my intake of high-fiber foods."
Rationale:
Constipation can cause the client to use the Valsalva maneuver. The Valsalva
maneuver should be avoided in clients with cardiac disease because it can cause
blood to rush to the heart and overload the cardiac system. Constipation can be
prevented by the addition of fluids and a high-fiber diet. A low-calorie diet is not
recommended during pregnancy and could be harmful to the fetus. Sodium should
MED SURG III 4
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
A client has been admitted to the hospital for Gastroenteritis and dehydration.
The nurse determines that the client has received adequate volume replacement
if the blood urea nitrogen (BUN) level drop to which value?
A. 3mg/dL
B. 15mg/dL
C. 29 mg/dL
D. 35mg/dL
B. 15mg/dL
Rationale:
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
The normal BUN level is 10 to 20 mg/dL. Values of 29mg/dL and 35mg/dL reflect
continued dehydration. A value of 3mg/dL reflects a lower than normal value,
which may occur with fluid volume overload, among other conditions.
The nurse is teaching a client who has iron deficiency anemia about foods she
should include in their diet. The nurse determines that the client understands the
dietary modifications if which items are selected from the menu?
A. Nuts and milk
B. Coffee and tea
C. Cooked rolled oats and fish
D. Oranges and dark green leafy vegetables
D. Oranges and dark green leafy vegetables.
Rationale:
Dark green leafy vegetables are a good source of iron, and oranges are a good
source of Vitamin C, which enhances iron absorption. All other options are not
high enough in iron and Vitamin C.
The nurse instructs a client with Chronic Kidney Disease (CKD) who is receiving
hemodialysis about dietary modifications. The nurse determines the client
understand these dietary modifications if the client selects which item from the
dietary menu?
A. Cream of wheat, blueberries, coffee
B. Sausage and eggs, banana, orange juice
C. Bacon, cantaloupe melon, tomato juice
D. Cured pork, grits, strawberries, orange juice
A. Cream of wheat, blueberries, coffee
Rationale:
The diet for a client which Chronic Kidney Disease who is receiving hemodiaylsis
should include controlled amounts of sodium, phosphorus, calcium, potassium,
and fluids. The food items in the remaining options are high in sodium,
phosphorus, and/or potassium
The nurse is caring for a client with Cirrhosis of the liver. To minimize the effects
of the disorder, the nurse teaches about foods that are high in Thiamine. The
nurse understanding of the dietary measures to follow if the client states an
intention to increase the intake of which food?
A. Milk
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
B. Chicken
C. Broccoli
D. Legumes
D. Legume
Rationale:
The client with cirrhosis needs to consume foods high in Thiamine. Legumes are
especially rich in Thiamine. Other good food sources include nuts, whole grain
cereals, and pork.
.!
The nurse is providing instructions to a client and the family regarding home care
after right eye cataract removal. Which statement by the client would indicate an
understanding of the instructions?
A. "I should sleep on my left side."
B. "I should sleep on my right side."
C. "I should sleep with my head flat."
D. "I should not wear my glasses at any time."
A. "I should sleep on my left side."
Rationale:
After cataract surgery, the client should not sleep on the side of the body that was
operated on to prevent edema formation and intraocular pressure. The client
should be placed in a semi-fowler's position to assist in minimizing edema and
intraocular pressure. During the day, the client may wear glasses or a protective
shield; at night, the protective shield alone is sufficient.
.!
A 2-year old child is treated in the ER for a burn to the chest and abdomen. The
child sustained the burn by grabbing a cup of hot coffee that was left on the
kitchen counter. The nurse reviews safety principles with the parents before
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
discharge. Which statement by the parents indicated an understanding of
measures to provide safety in the home?
A. "We will be sure not to leave hot liquids unattended."
B. "I guess our children need to understand what the words hot means."
C. "We will be sure that the children stay in their rooms when we work in the
kitchen."
D. "We will install a safety gate as soon as we get home so the children cannot get
into the kitchen."
A. "We will be sure not to leave hot liquids unattended."
Rationale:
Toddlers, with their increased mobility and development of motor skills, can reach
hot water or hot objects placed on counters and stoves and can reach open fires
or stove burners above their eye level. The nurse should encourage parents to
remain in the kitchen while preparing coffee and other hot items. Always turn pan
handles on the stove inward, and toward the middle of the stove. All other options
are not reasonable.
.!
The nurse is providing instructions to a pregnant client with a hx of cardiac
disease regarding appropriate dietary measures. Which statement, if made by the
client, indicates an understanding of the information provided by the nurse?
A. "I should increase my sodium intake during pregnancy."
B. "I should lower my blood volume by limiting my fluids."
C. "I should maintain a low-calorie diet to prevent any weight gain."
D. "I should drink adequate fluids and increase my intake of high-fiber foods."
D. "I should drink adequate fluids and increase my intake of high-fiber foods."
Rationale:
Constipation can cause the client to use the Valsalva maneuver. The Valsalva
maneuver should be avoided in clients with cardiac disease because it can cause
blood to rush to the heart and overload the cardiac system. Constipation can be
prevented by the addition of fluids and a high-fiber diet. A low-calorie diet is not
recommended during pregnancy and could be harmful to the fetus. Sodium should
MED SURG III 4
