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NURS 120 final Exam (Latest 2026/ 2027 Update) – Introduction to Medical Surgical Nursing Review 100% Verified Questions & Answers [Grade A] – WCU

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NURS 120 final Exam (Latest 2026/ 2027 Update) – Introduction to Medical Surgical Nursing Review 100% Verified Questions & Answers [Grade A] – WCU The nurse is prepared for complications related to administering warfarin (Coumadin) by having which of the following readily available? A. Vitamin K B. Protamine Sulfate C. Platelets D. Charcoal -correct answer A. Vitamin K The nurse is caring for a client with hypertension (HTN) who was recently prescribed Lisinopril (Zestril). What medication education will the nurse provide at this time? A. "You need to decrease your potassium intake because this is a potassium-sparing diuretic" B. "Report a nagging cough to your doctor" C. "Hold this medication if your heart rate is less than 70" D. "You do not need to take your blood pressure prior to taking this medication" -correct answer B. "Report a nagging cough to your doctor" A nurse cares for a client with diabetes mellitus who asks, "Why do I need to administer more than one injection of insulin each day?" How would the nurse respond? A. "A single dose of insulin each day would not match your blood insulin levels and your food intake patterns." B. "A single dose of insulin would be too large to be absorbed, predictably putting you at risk for insulin shock." C. "A regimen of a single dose of insulin injected each day would require that you eat fewer carbohydrates." D. "You need to start with multiple injections until you become more proficient at self-injection." -correct answer A. "A single dose of insulin each day would not match your blood insulin levels and your food intake patterns." A nurse develops a dietary plan for a client with diabetes mellitus and new-onset microalbuminuria. Which component of the client's diet would the nurse decrease? A. Carbohydrates B. Fats C. Proteins D. Total calories -correct answer C. Proteins The nurse is caring for a diabetic client whose finger stick blood sugar was 216 at 12:00pm. The nurse has the following two orders:1.) Give subcutaneous Novolog 10 units before meals at 0800, 1200, and 1600.2.) Give subcutaneous Novolog per sliding scale before meals at 0800, 1200, and 1600: blood sugar 150 - 199: give 3 units, 200 - 249: give 6 units, 250 - 299: give 9 units, 300 or greater: give 12 units How many total units of insulin will the nurse administer to this client? A. 16 units of Novolog B. 19 units of Novolog C. 10 units of Novolog D. 22 units of Novolog -correct answer A. 16 units of Novolog

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NURS 120 final Exam (Latest 2026/ 2027
Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU


A nurse answers a call light and finds the client anxious, short of breath, and
reporting chest pain. The client states it's a stabbing pain". What action by the nurse
takes priority?
A.

Take a full set of vital signs and document
B.

Reassure the patient that the appropriate measures will be taken
C.

Notify the rapid response team
D.

Listen to the patient's breath sounds -correct answer C.
Notify the rapid response team


The MD order states: Administer 50mg of Metoprolol PO

Available: Metoprolol 100mg/tab
How many tablets will the nurse administer?

A.
0.5 tab

B.
1 tab

, NURS 120 final Exam (Latest 2026/ 2027
Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU


C.
1.5 tabs
D.
2 tabs -correct answer A. 0.5 tabs


The nurse is providing nutritional education to a client with a new diagnosis of heart

failure (HF). What will the nurse be sure to include in her teaching?
A.

"Take a salt supplement in order to keep your sodium (N+) level normal"
B.

"Be sure and add any salt flavoring to food while it is cooking"
C.

"You will need to strictly limit your salt intake"
D.

"You can have all the salt you want, as long as you are voiding regularly" -correct
answer C.

"You will need to strictly limit your salt intake"


The MD order states: Administer 1000ml of NS IV over 20 hours
What will the nurse set as the pump infusion rate?

, NURS 120 final Exam (Latest 2026/ 2027
Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU


A.
65 mL/hr
B.
50 mL/hr

C.
120 mL/hr

D.
70 mL/hr -correct answer B. 50 mL/hr


The nurse knows that which client is at the highest risk for developing varicose veins?

A.
The 30 y/o male who works in construction

B.
The 55 y/o retired female who is considering hormone replacement

C.
A 25 y/o male who works out 6 times a week

D.
The 42 y/o overweight female who works standing in retail sales -correct answer D.

The 42 y/o overweight female who works standing in retail sales

, NURS 120 final Exam (Latest 2026/ 2027
Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU


The nursing student is caring for a client with peripheral vascular disease (PVD). When
speaking with the student, the nursing instructor asks him/her to explain the
difference between arterial and venous insufficiency. The student nurse would be
correct in stating that:

A.
Arterial insufficiency causes bounding pulses while venous insufficiency causes absent

pulses
B.

Venous insufficiency causes congestion and blood stasis while arterial insufficiency
can lead to ischemic ulcers and gangrene

C.
Venous insufficiency is characterized by pain with activity

D.
Arterial insufficiency is caused by varicose veins and blood clots -correct answer B.

Venous insufficiency causes congestion and blood stasis while arterial insufficiency
can lead to ischemic ulcers and gangrene


The student nurse correctly identifies the different types of heart failure as which of

the following:
A.

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