MED SURG II STUDY GUIDE UPDATED EXAM QUESTIONS
AND ANSWERS RATED A+
✔✔A patient who has been experiencing changes in his bowel function is scheduled for
a barium enema. What instruction should the nurse provide for post procedure
recovery? - ✔✔Increase fluid intake to evacuate the barium
✔✔A patient with elevated BUN and Creatine values has been referred by her primary
physician for further evaluation. The nurse should anticipate the use of what initial dx
test? - ✔✔Ultrasound
✔✔A patient with chronic kidney disease is completing an exchange during peritoneal
dialysis. The nurse observes that the peritoneal fluid is draining slowly and that the
patient's abdomen is increasing in girth. What is the nurse's most appropriate action? -
✔✔Reposition the patient to facilitate drainage
✔✔A nurse educator is teaching a group of recent nursing graduates about their
occupational risk for contracting hepatitis B. What preventative measures should the
educator promote? SATA - ✔✔a. Use of standard precautions
b. Immunization
✔✔The nursing instructor is discussing ulcerative colitis with her clinical group. What
would she tell her students about the characteristics of the stools of these patients? -
✔✔Watery with blood and mucus
✔✔A patient with a dx of peptic ulcer disease has just been prescribed omeprazole
(Prilosec). How should the nurse best describe this medication's therapeutic action? -
✔✔This medication will reduce the amount of acid secreted in your stomach
✔✔The nurse is caring for an 84 year old man who has just returned from the OR after
inguinal hernia repair. The OR report indicates that the patient received large volumes
of IV fluids during surgery and the nurse recognizes that the patient is at risk for left
sided heart failure. What signs and symptoms would indicate left side heart failure? -
✔✔Bibasilar fine crackles
✔✔A patient with ongoing back pain, nausea, and abdominal bloating has been
diagnosed with cholecystitis secondary to gallstones. The nurse should anticipate that
the patient will undergo what intervention? - ✔✔Laparoscopic Cholecystectomy
✔✔A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse
assesses the patient's stool after a bowel movement and notes it to be a tarry-black
color. This finding is suggestive of bleeding from what location? - ✔✔Upper GI tract
, ✔✔A group of nurses have attended an in service on the prevention of occupationally
acquired diseases that affect healthcare providers. What action has the greatest
potential to reduce a nurse's risk of acquiring hepatitis C in the workplace? -
✔✔Disposing of sharps appropriately and not recapping needles
✔✔A nurse is preparing to provide care for a patient whose exacerbation of ulcerative
colitis has required hospital admission. During an exacerbation of this health problem,
the nurse would anticipate that the patient's stool will have the characteristics? -
✔✔Watery with blood and mucus
✔✔Your patient has acute renal failure (ARF) and a potassium of 6.0. The nurse would
plan which of the following as a priority action? - ✔✔Place patient on a cardiac monitor
✔✔A 35 year old male patient presenting at the ER with Sx of a small bowel
obstruction. In collaboration with the primary care provider, what intervention should the
nurse prioritize? - ✔✔Insertion of a nasogastric tube
✔✔A nurse is amending a patient's plan of care in light of the fact that the patient has
recently developed ascities. What should the nurse include in his patient's care plan? -
✔✔Administration of diuretics as ordered
✔✔An adult patient is scheduled for an upper GI series that will use a barium swallow.
What teaching should the nurse include when the patient has completed the test? -
✔✔Fluids must be increased to facilitate the evacuation of the stool.
✔✔While caring for a patient hospitalized with chronic gastritis it is important to educate
the patient about what? - ✔✔Avoiding irritating foods and beverages
✔✔A patient with chronic kidney disease has been hospitalized and is receiving
hemodialysis on a schedule basis. The nurse should include which of the following
actions in the plan of care? - ✔✔Assess for a thrill and bruit over the vascular assess
site each shift.
✔✔The student nurse is caring for a patient who is postoperative day 3 following a
colostomy. While changing the dressing, the student nurse notes that the stoma is
dusky in color. The student asks his preceptor what this might indicate. What should the
nurse preceptor respond? - ✔✔Circulation to the stoma is compromised
✔✔16 year old female presents at the ER complaining of right lower quadrant pain. She
is dx with appendicitis. When assessing this patient, what signs or symptoms should the
nurse expect to find? - ✔✔Rebound tenderness, McBurney's sign, low-grade fever
AND ANSWERS RATED A+
✔✔A patient who has been experiencing changes in his bowel function is scheduled for
a barium enema. What instruction should the nurse provide for post procedure
recovery? - ✔✔Increase fluid intake to evacuate the barium
✔✔A patient with elevated BUN and Creatine values has been referred by her primary
physician for further evaluation. The nurse should anticipate the use of what initial dx
test? - ✔✔Ultrasound
✔✔A patient with chronic kidney disease is completing an exchange during peritoneal
dialysis. The nurse observes that the peritoneal fluid is draining slowly and that the
patient's abdomen is increasing in girth. What is the nurse's most appropriate action? -
✔✔Reposition the patient to facilitate drainage
✔✔A nurse educator is teaching a group of recent nursing graduates about their
occupational risk for contracting hepatitis B. What preventative measures should the
educator promote? SATA - ✔✔a. Use of standard precautions
b. Immunization
✔✔The nursing instructor is discussing ulcerative colitis with her clinical group. What
would she tell her students about the characteristics of the stools of these patients? -
✔✔Watery with blood and mucus
✔✔A patient with a dx of peptic ulcer disease has just been prescribed omeprazole
(Prilosec). How should the nurse best describe this medication's therapeutic action? -
✔✔This medication will reduce the amount of acid secreted in your stomach
✔✔The nurse is caring for an 84 year old man who has just returned from the OR after
inguinal hernia repair. The OR report indicates that the patient received large volumes
of IV fluids during surgery and the nurse recognizes that the patient is at risk for left
sided heart failure. What signs and symptoms would indicate left side heart failure? -
✔✔Bibasilar fine crackles
✔✔A patient with ongoing back pain, nausea, and abdominal bloating has been
diagnosed with cholecystitis secondary to gallstones. The nurse should anticipate that
the patient will undergo what intervention? - ✔✔Laparoscopic Cholecystectomy
✔✔A nurse is caring for a newly admitted patient with a suspected GI bleed. The nurse
assesses the patient's stool after a bowel movement and notes it to be a tarry-black
color. This finding is suggestive of bleeding from what location? - ✔✔Upper GI tract
, ✔✔A group of nurses have attended an in service on the prevention of occupationally
acquired diseases that affect healthcare providers. What action has the greatest
potential to reduce a nurse's risk of acquiring hepatitis C in the workplace? -
✔✔Disposing of sharps appropriately and not recapping needles
✔✔A nurse is preparing to provide care for a patient whose exacerbation of ulcerative
colitis has required hospital admission. During an exacerbation of this health problem,
the nurse would anticipate that the patient's stool will have the characteristics? -
✔✔Watery with blood and mucus
✔✔Your patient has acute renal failure (ARF) and a potassium of 6.0. The nurse would
plan which of the following as a priority action? - ✔✔Place patient on a cardiac monitor
✔✔A 35 year old male patient presenting at the ER with Sx of a small bowel
obstruction. In collaboration with the primary care provider, what intervention should the
nurse prioritize? - ✔✔Insertion of a nasogastric tube
✔✔A nurse is amending a patient's plan of care in light of the fact that the patient has
recently developed ascities. What should the nurse include in his patient's care plan? -
✔✔Administration of diuretics as ordered
✔✔An adult patient is scheduled for an upper GI series that will use a barium swallow.
What teaching should the nurse include when the patient has completed the test? -
✔✔Fluids must be increased to facilitate the evacuation of the stool.
✔✔While caring for a patient hospitalized with chronic gastritis it is important to educate
the patient about what? - ✔✔Avoiding irritating foods and beverages
✔✔A patient with chronic kidney disease has been hospitalized and is receiving
hemodialysis on a schedule basis. The nurse should include which of the following
actions in the plan of care? - ✔✔Assess for a thrill and bruit over the vascular assess
site each shift.
✔✔The student nurse is caring for a patient who is postoperative day 3 following a
colostomy. While changing the dressing, the student nurse notes that the stoma is
dusky in color. The student asks his preceptor what this might indicate. What should the
nurse preceptor respond? - ✔✔Circulation to the stoma is compromised
✔✔16 year old female presents at the ER complaining of right lower quadrant pain. She
is dx with appendicitis. When assessing this patient, what signs or symptoms should the
nurse expect to find? - ✔✔Rebound tenderness, McBurney's sign, low-grade fever
