NSG 223 Final Study Questions: Med
Surg II Test with Accurate Complete
Solutions 2025-2026 Set.
A nurse is caring for a client who is learning how to take care of a newly created colostomy.
When observing a return demonstration of the colostomy irrigation, the nurse evaluates that
more teaching is required when the client: - Answer Hangs the irrigation bag on the door
clothes hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output. What
is the best nursing response? - Answer Assess the client's ability to measure the intake and
output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The
nurse expects that the client will have which tube after surgery? - Answer Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this
type of heart failure, the nurse expects the client to state: - Answer "I have trouble breathing
when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?"
The nurse explains that the purpose of the chest tube is to: - Answer Remove air from the
pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the chest,
becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus
has occurred. What is the priority nursing action? - Answer Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion
exercises are taught to the client's spouse. The nurse should teach that direct pressure should
not be applied to the client's joints because this may precipitate: - Answer Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when caring for this
client during the postoperative period? - Answer Hoarseness and airway obstruction may
result from laryngeal nerve damage.
, A female client who has recurrent urinary tract infections (UTIs) is inquiring about the
prevention of future UTIs. What information should the nurse include when teaching the client?
(Select all that apply.) - Answer -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse
expect to increase in a client with Cushing syndrome? - Answer Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a
flapping tremor. With this evidence of impending hepatic coma, which diet can the nurse expect
will be prescribed for this client? - Answer 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated
because it contributes to: - Answer Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse
provides education about common side effects of general anesthesia. The nurse concludes that
the teaching has been effective when the client states, "Immediately after surgery I may
experience: - Answer A sore throat."
A client has surgery for the creation of burr holes after sustaining head trauma. An early clinical
manifestation of meningeal irritation for which the nurse assesses the client is: - Answer
Kernig's sign
What therapeutic effect should the nurse identify as the reason for administration of neomycin
sulfate to a client before colon surgery? - Answer Destroy intestinal bacteria
A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical
condition and generalized weakness. When caring for this client it is most important for the
nurse to plan to: - Answer Space activities throughout the day
A client is diagnosed with myasthenia gravis, and the anticholinesterase medication
pyridostigmine (Mestinon) is prescribed. When teaching the client about this medication, the
nurse explains that the desired effect is to increase: - Answer Contraction of skeletal muscles
Surg II Test with Accurate Complete
Solutions 2025-2026 Set.
A nurse is caring for a client who is learning how to take care of a newly created colostomy.
When observing a return demonstration of the colostomy irrigation, the nurse evaluates that
more teaching is required when the client: - Answer Hangs the irrigation bag on the door
clothes hook during fluid insertion
Following surgery, a client asks the nurse if he or she can help measure intake and output. What
is the best nursing response? - Answer Assess the client's ability to measure the intake and
output
A client with cancer of the pancreas has a pancreaticoduodenectomy (Whipple procedure). The
nurse expects that the client will have which tube after surgery? - Answer Nasogastric
A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this
type of heart failure, the nurse expects the client to state: - Answer "I have trouble breathing
when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did they put this tube into my chest?"
The nurse explains that the purpose of the chest tube is to: - Answer Remove air from the
pleural space
Following surgery in the inguinal area, the client complains of pain on the right side of the chest,
becomes dyspneic, and begins to cough violently. The nurse suspects that a pulmonary embolus
has occurred. What is the priority nursing action? - Answer Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and passive range-of-motion
exercises are taught to the client's spouse. The nurse should teach that direct pressure should
not be applied to the client's joints because this may precipitate: - Answer Pain
A client is admitted to the hospital with the diagnosis of cancer of the thyroid and a
thyroidectomy is scheduled. What is important for the nurse to consider when caring for this
client during the postoperative period? - Answer Hoarseness and airway obstruction may
result from laryngeal nerve damage.
, A female client who has recurrent urinary tract infections (UTIs) is inquiring about the
prevention of future UTIs. What information should the nurse include when teaching the client?
(Select all that apply.) - Answer -Drink 8 to 10 glasses of water each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse
expect to increase in a client with Cushing syndrome? - Answer Glucose level
A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a
flapping tremor. With this evidence of impending hepatic coma, which diet can the nurse expect
will be prescribed for this client? - Answer 20 g of protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic kidney disease should be treated
because it contributes to: - Answer Chronic fatigue
A client is scheduled to receive general anesthesia during an upcoming surgery. The nurse
provides education about common side effects of general anesthesia. The nurse concludes that
the teaching has been effective when the client states, "Immediately after surgery I may
experience: - Answer A sore throat."
A client has surgery for the creation of burr holes after sustaining head trauma. An early clinical
manifestation of meningeal irritation for which the nurse assesses the client is: - Answer
Kernig's sign
What therapeutic effect should the nurse identify as the reason for administration of neomycin
sulfate to a client before colon surgery? - Answer Destroy intestinal bacteria
A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical
condition and generalized weakness. When caring for this client it is most important for the
nurse to plan to: - Answer Space activities throughout the day
A client is diagnosed with myasthenia gravis, and the anticholinesterase medication
pyridostigmine (Mestinon) is prescribed. When teaching the client about this medication, the
nurse explains that the desired effect is to increase: - Answer Contraction of skeletal muscles
