1|P a g e
Med Surg III Exam 3 2025 | NSG 233 Med Surg
III Exam 3 | All Questions and Correct Answers
with Rationales | Graded A+ | Verified Answers
| Latest Version | Just Released
A nurse prepares to teach a client who has experienced damage
to the left temporal lobe of the brain. Which action should the
nurse take when providing education about newly prescribed
medications to this client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask questions. - . .
ANSWER ✓✓ C
Rationale: The temporal lobe contains the auditory center for
sound interpretation. The clients hearing will be impaired in the
left ear. The nurse should sit on the clients right side and speak
into the right ear. The other interventions do not address the
clients left temporal lobe damage.
A nurse plans care for a client who has a hypoactive response to
a test of deep tendon reflexes. Which intervention should the
nurse include in this clients plan of care?
,2|P a g e
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each shift. - . . ANSWER
✓✓ B
Rationale: Hypoactive deep tendon reflexes and loss of vibration
sense can impair balance and coordination, predisposing the
client to falls. The nurse should plan to provide the client with
ambulation assistance to prevent injury. The other interventions
do not address the clients problem.
A nurse teaches an 80-year-old client with diminished touch
sensation. Which statement should the nurse include in this
clients teaching?
a. Place soft rugs in your bathroom to decrease pain in your feet.
b. Bathe in warm water to increase your circulation.
c. Look at the placement of your feet when walking.
d. Walk barefoot to decrease pressure ulcers from your shoes. -
. . ANSWER ✓✓ C
Rationale: Older clients with decreased sensation are at risk of
injury from the inability to sense changes in terrain when
walking. To compensate for this loss, the client is instructed to
look at the placement of her or his feet when walking. Throw
rugs can slip and increase fall risk. Bath water that is too warm
places the client at risk for thermal injury. The client should wear
sturdy shoes for ambulation.
,3|P a g e
A nurse assesses a clients recent memory. Which client
statement confirms that the clients remote memory is intact?
a. A young girl wrapped in a shroud fell asleep on a bed of
clouds.
b. I was born on April 3, 1967, in Johnstown Community Hospital.
c. Apple, chair, and pencil are the words you just stated.
d. I ate oatmeal with wheat toast and orange juice for breakfast.
- . . ANSWER ✓✓ D
Rationale: Asking clients about recent events that can be verified,
such as what the client ate for breakfast, assesses the clients
recent memory. The clients ability to make up a rhyme tests not
memory, but rather a higher level of cognition. Asking clients
about certain facts from the past that can be verified assesses
remote or long-term memory. Asking the client to repeat words
assesses the clients immediate memory.
A nurse asks a client to take deep breaths during an
electroencephalography. The client asks, Why are you asking me
to do this? How should the nurse respond?
a. Hyperventilation causes vascular dilation of cerebral arteries,
which decreases electoral activity in the brain.
b. Deep breathing helps you to relax and allows the
electroencephalograph to obtain a better waveform.
c. Hyperventilation causes cerebral vasoconstriction and
increases the likelihood of seizure activity.
, 4|P a g e
d. Deep breathing will help you to blow off carbon dioxide and
decreases intracranial pressures. - . . ANSWER ✓✓ C
Rationale: Hyperventilation produces cerebral vasoconstriction
and alkalosis, which increases the likelihood of seizure activity.
The client is asked to breathe deeply 20 to 30 times for 3
minutes. The other responses are not accurate.
A nurse assesses a client recovering from a cerebral
angiography via the clients right femoral artery. Which
assessment should the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating. - . . ANSWER ✓✓ A
Rationale: Cerebral angiography is performed by threading a
catheter through the femoral or brachial artery. The extremity is
kept immobilized after the procedure. The nurse checks the
extremity for adequate circulation by noting skin color and
temperature, presence and quality of pulses distal to the
injection site, and capillary refill. Clients usually are on bedrest;
therefore, orthostatic blood pressure readings cannot be
performed. The funduscopic examination would not be affected
by cerebral angiography. The client is given analgesics but not
conscious sedation; therefore, the clients gag reflex would not be
compromised.
Med Surg III Exam 3 2025 | NSG 233 Med Surg
III Exam 3 | All Questions and Correct Answers
with Rationales | Graded A+ | Verified Answers
| Latest Version | Just Released
A nurse prepares to teach a client who has experienced damage
to the left temporal lobe of the brain. Which action should the
nurse take when providing education about newly prescribed
medications to this client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask questions. - . .
ANSWER ✓✓ C
Rationale: The temporal lobe contains the auditory center for
sound interpretation. The clients hearing will be impaired in the
left ear. The nurse should sit on the clients right side and speak
into the right ear. The other interventions do not address the
clients left temporal lobe damage.
A nurse plans care for a client who has a hypoactive response to
a test of deep tendon reflexes. Which intervention should the
nurse include in this clients plan of care?
,2|P a g e
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each shift. - . . ANSWER
✓✓ B
Rationale: Hypoactive deep tendon reflexes and loss of vibration
sense can impair balance and coordination, predisposing the
client to falls. The nurse should plan to provide the client with
ambulation assistance to prevent injury. The other interventions
do not address the clients problem.
A nurse teaches an 80-year-old client with diminished touch
sensation. Which statement should the nurse include in this
clients teaching?
a. Place soft rugs in your bathroom to decrease pain in your feet.
b. Bathe in warm water to increase your circulation.
c. Look at the placement of your feet when walking.
d. Walk barefoot to decrease pressure ulcers from your shoes. -
. . ANSWER ✓✓ C
Rationale: Older clients with decreased sensation are at risk of
injury from the inability to sense changes in terrain when
walking. To compensate for this loss, the client is instructed to
look at the placement of her or his feet when walking. Throw
rugs can slip and increase fall risk. Bath water that is too warm
places the client at risk for thermal injury. The client should wear
sturdy shoes for ambulation.
,3|P a g e
A nurse assesses a clients recent memory. Which client
statement confirms that the clients remote memory is intact?
a. A young girl wrapped in a shroud fell asleep on a bed of
clouds.
b. I was born on April 3, 1967, in Johnstown Community Hospital.
c. Apple, chair, and pencil are the words you just stated.
d. I ate oatmeal with wheat toast and orange juice for breakfast.
- . . ANSWER ✓✓ D
Rationale: Asking clients about recent events that can be verified,
such as what the client ate for breakfast, assesses the clients
recent memory. The clients ability to make up a rhyme tests not
memory, but rather a higher level of cognition. Asking clients
about certain facts from the past that can be verified assesses
remote or long-term memory. Asking the client to repeat words
assesses the clients immediate memory.
A nurse asks a client to take deep breaths during an
electroencephalography. The client asks, Why are you asking me
to do this? How should the nurse respond?
a. Hyperventilation causes vascular dilation of cerebral arteries,
which decreases electoral activity in the brain.
b. Deep breathing helps you to relax and allows the
electroencephalograph to obtain a better waveform.
c. Hyperventilation causes cerebral vasoconstriction and
increases the likelihood of seizure activity.
, 4|P a g e
d. Deep breathing will help you to blow off carbon dioxide and
decreases intracranial pressures. - . . ANSWER ✓✓ C
Rationale: Hyperventilation produces cerebral vasoconstriction
and alkalosis, which increases the likelihood of seizure activity.
The client is asked to breathe deeply 20 to 30 times for 3
minutes. The other responses are not accurate.
A nurse assesses a client recovering from a cerebral
angiography via the clients right femoral artery. Which
assessment should the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating. - . . ANSWER ✓✓ A
Rationale: Cerebral angiography is performed by threading a
catheter through the femoral or brachial artery. The extremity is
kept immobilized after the procedure. The nurse checks the
extremity for adequate circulation by noting skin color and
temperature, presence and quality of pulses distal to the
injection site, and capillary refill. Clients usually are on bedrest;
therefore, orthostatic blood pressure readings cannot be
performed. The funduscopic examination would not be affected
by cerebral angiography. The client is given analgesics but not
conscious sedation; therefore, the clients gag reflex would not be
compromised.
