MED SURG II EXAM SET UPDATED EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔A patient who had surgery today suddenly becomes restless, has difficulty
breathing, and has an arterial oxygen saturation of 87%. Which mode of oxygen
delivery would most likely be ordered to reverse these symptoms? - ✔✔Nonrebreather
mask
✔✔The nurse is preparing to suction a patient with a tracheostomy tube who has
markedly increased mucus production. Which supplies will the nurse gather for the
procedure? - ✔✔Face shield
✔✔The home health nurse is performing a functional assessment of an 87-year-old
patient who lives alone at home. The nurse notices a strong smell of garbage in the
kitchen; the patient denies the smell of garbage, even when the source of the smell is
located. Which age-related change should make the nurse concerned for the safety of
the patient? - ✔✔Decreased sense of smell
✔✔What would the nurse tell the patient about the primary reasons for deep breathing
and the use of the spirometer after abdominal surgery? Select all that apply. - ✔✔The
exercises help prevent hypostatic pneumonia, The exercises help ensure maximum
lung expansion & The exercises help the patient expectorate secretions.
✔✔Which would the licensed practical nurse (LPN) do if it is suspected that a patient
might have a deep vein thrombosis? - ✔✔Instruct the patient to avoid moving his or her
leg vigorously.
✔✔When suctioning a patient, the removal of the catheter and suctioning should not
take more than what period of time? - ✔✔10 seconds
✔✔A patient comes to the clinic complaining of nasal congestion, a runny nose, sore
throat, headache, and fatigue and has been taking pseudoephedrine. The patient
reports a history of hypertension and coronary artery disease. Why does the nurse
inform the patient to stop taking the drug? Select all that apply. - ✔✔It can cause
hypertension and tachycardia & It is contraindicated in coronary artery disease
✔✔Which nursing action is the priority after a fiberoptic bronchoscopy? - ✔✔Hold all
food and fluids until the gag reflex returns.
✔✔The nurse is caring for a patient with chronic sinusitis. Which drug, if ordered by the
health care provider, would the nurse clarify with the health care provider before
administering? - ✔✔First-generation antihistamines
, ✔✔Which statements are true of the respiratory system and the mechanisms of
breathing? Select all that apply. - ✔✔The phrenic nerve sends signals to the respiratory
muscles & Chemoreceptors in the aorta and carotid artery monitor the pH and amount
of carbon dioxide and oxygen in the arterial blood
✔✔The nurse is observing a new graduate nurse during suctioning of a tracheostomy
patient. Which action by the graduate nurse would require intervention? - ✔✔Applying
suction while inserting the catheter
✔✔Which assessment of an 88-year-old patient taking pseudoephedrine will alert the
nurse to potential side effects? - ✔✔Bladder distention
✔✔The nurse is working with another nurse to change the tracheostomy dressing for a
mechanically ventilated person. The nurse has removed the old dressing, cleansed the
site, and is preparing to apply a fresh dressing and realizes that the gauze sponge is not
a precut drain sponge. Which intervention is best? - ✔✔Retie the tracheostomy ties and
get the correct dressing.
✔✔Which details will the licensed practical nurse include when explaining a fiberoptic
bronchoscopy to a patient? Select all - ✔✔A local anesthetic will be applied to the
patient's throat, The patient should take nothing by mouth until the gag reflex returns &
The procedure allows for the assessment, diagnosis, or removal of foreign bodies or
mucus plugs
✔✔The nurse is caring for a patient who is on a mechanical ventilator. The ventilator
alarms for increased peak airway pressure. Which intervention should be the nurse's
priority? - ✔✔Suction the patient's tracheostomy
✔✔A patient's oxygen saturation reading is 88% on pulse oximetry and the patient has
no previous history of respiratory disease. What would be the nurse's response to this
assessment? - ✔✔Call your supervisor or the health care provider.
✔✔In which order would the nurse correctly obtain a throat culture? - ✔✔1. Examine the
kit to ensure it contains a sterile swab or applicator and a tube of culture medium.
2. Take the patient to a room with a bright light.
3. Tilt the patient's head back, depress the tongue with a tongue blade, insert the swab
into the patient's mouth directly to the back of the throat, and gently rotate the swab
over the back of the throat, tonsils, and any obvious lesion.
4. Immediately place the swab in the tube of culture medium and inform the patient that
the results will be reported in 24 to 48 hours
✔✔A nurse is working with a new employee. The new nurse demonstrates
understanding of positioning instructions if he or she assists the patient after a
ANSWERS RATED A+
✔✔A patient who had surgery today suddenly becomes restless, has difficulty
breathing, and has an arterial oxygen saturation of 87%. Which mode of oxygen
delivery would most likely be ordered to reverse these symptoms? - ✔✔Nonrebreather
mask
✔✔The nurse is preparing to suction a patient with a tracheostomy tube who has
markedly increased mucus production. Which supplies will the nurse gather for the
procedure? - ✔✔Face shield
✔✔The home health nurse is performing a functional assessment of an 87-year-old
patient who lives alone at home. The nurse notices a strong smell of garbage in the
kitchen; the patient denies the smell of garbage, even when the source of the smell is
located. Which age-related change should make the nurse concerned for the safety of
the patient? - ✔✔Decreased sense of smell
✔✔What would the nurse tell the patient about the primary reasons for deep breathing
and the use of the spirometer after abdominal surgery? Select all that apply. - ✔✔The
exercises help prevent hypostatic pneumonia, The exercises help ensure maximum
lung expansion & The exercises help the patient expectorate secretions.
✔✔Which would the licensed practical nurse (LPN) do if it is suspected that a patient
might have a deep vein thrombosis? - ✔✔Instruct the patient to avoid moving his or her
leg vigorously.
✔✔When suctioning a patient, the removal of the catheter and suctioning should not
take more than what period of time? - ✔✔10 seconds
✔✔A patient comes to the clinic complaining of nasal congestion, a runny nose, sore
throat, headache, and fatigue and has been taking pseudoephedrine. The patient
reports a history of hypertension and coronary artery disease. Why does the nurse
inform the patient to stop taking the drug? Select all that apply. - ✔✔It can cause
hypertension and tachycardia & It is contraindicated in coronary artery disease
✔✔Which nursing action is the priority after a fiberoptic bronchoscopy? - ✔✔Hold all
food and fluids until the gag reflex returns.
✔✔The nurse is caring for a patient with chronic sinusitis. Which drug, if ordered by the
health care provider, would the nurse clarify with the health care provider before
administering? - ✔✔First-generation antihistamines
, ✔✔Which statements are true of the respiratory system and the mechanisms of
breathing? Select all that apply. - ✔✔The phrenic nerve sends signals to the respiratory
muscles & Chemoreceptors in the aorta and carotid artery monitor the pH and amount
of carbon dioxide and oxygen in the arterial blood
✔✔The nurse is observing a new graduate nurse during suctioning of a tracheostomy
patient. Which action by the graduate nurse would require intervention? - ✔✔Applying
suction while inserting the catheter
✔✔Which assessment of an 88-year-old patient taking pseudoephedrine will alert the
nurse to potential side effects? - ✔✔Bladder distention
✔✔The nurse is working with another nurse to change the tracheostomy dressing for a
mechanically ventilated person. The nurse has removed the old dressing, cleansed the
site, and is preparing to apply a fresh dressing and realizes that the gauze sponge is not
a precut drain sponge. Which intervention is best? - ✔✔Retie the tracheostomy ties and
get the correct dressing.
✔✔Which details will the licensed practical nurse include when explaining a fiberoptic
bronchoscopy to a patient? Select all - ✔✔A local anesthetic will be applied to the
patient's throat, The patient should take nothing by mouth until the gag reflex returns &
The procedure allows for the assessment, diagnosis, or removal of foreign bodies or
mucus plugs
✔✔The nurse is caring for a patient who is on a mechanical ventilator. The ventilator
alarms for increased peak airway pressure. Which intervention should be the nurse's
priority? - ✔✔Suction the patient's tracheostomy
✔✔A patient's oxygen saturation reading is 88% on pulse oximetry and the patient has
no previous history of respiratory disease. What would be the nurse's response to this
assessment? - ✔✔Call your supervisor or the health care provider.
✔✔In which order would the nurse correctly obtain a throat culture? - ✔✔1. Examine the
kit to ensure it contains a sterile swab or applicator and a tube of culture medium.
2. Take the patient to a room with a bright light.
3. Tilt the patient's head back, depress the tongue with a tongue blade, insert the swab
into the patient's mouth directly to the back of the throat, and gently rotate the swab
over the back of the throat, tonsils, and any obvious lesion.
4. Immediately place the swab in the tube of culture medium and inform the patient that
the results will be reported in 24 to 48 hours
✔✔A nurse is working with a new employee. The new nurse demonstrates
understanding of positioning instructions if he or she assists the patient after a
