MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
A 6-foot, 6-inch tall 38-year-old man is being mechanically ventilated at a tidal volume of 500
mL and a respiratory rate of 16 breaths per minute. His most recent arterial blood gas (ABG)
results are: pH = 7.33; Pao2 = 85 mm Hg; Paco2 = 55 mm Hg. What is the nurse's interpretation
of these results?
A. Ventilation is adequate to maintain oxygenation
B. Ventilation is excessive; respiratory alkalosis is present
C. Ventilation is inadequate; respiratory acidosis is present
D. Ventilation status cannot be determined from the information presented - CORRECT
ANSWERS C. Ventilation is inadequate; respiratory acidosis is present
At the hourly assessment of an intubated client after positive end-expiratory pressure (PEEP)
has been discontinued, the nurse notes all of the following changes. For which one does the
nurse notify the physician?
A. The client is now talking around the endotracheal tube
B. Breath sounds are reduced over the left lung compared with the right
C. Oxygen saturation has increased from 90% to 95% at an Fio2 of 40%
D. The PIP dial now drops to zero at the end of exhalation instead of to only 10 cm H2O -
CORRECT ANSWERS B. Breath sounds are reduced over the left lung compared with
the right
A patient is at risk for shock. Over the next hour, the patient continues to decline with a
decreased level of consciousness and a temperature of 103.8 degrees F. BP is 80/40, HR is 134
and RR is 34. You call the provider to report these findings and obtain orders for the patient to
be transferred to ICU. When preparing for this transfer, you note that the O2 saturation is 87%
on room air.
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
What intervention should you perform first?
A. Apply oxygen at 2-3 L per nasal cannula
B. Draw an arterial blood gas sample
C. Administer acetaminophen 650 mg by mouth
D. Place the patient on a cardiac telemetry monitor - CORRECT ANSWERS A. Apply
oxygen at 2-3 L per nasal cannula
A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28, SpO2
90% on room air, T 38.7 degrees C. The nurse suspects sepsis from the tooth. The priority
intervention by the nurse would be to:
A. Administer prescribed antibiotics prior to blood cultures
B. Initiate intravenous fluid resuscitation
C. Obtain a complete chemistry for laboratory analysis
D. Insert an indwelling urinary catheter - CORRECT ANSWERS B. Initiate intravenous
fluid resuscitation
When assessing a patient for shock, the nurse knows that the earliest manifestation of shock is:
A. A decrease in respiratory rate and depth
B. A change in both systolic and diastolic blood pressure
C. Anuria
D. Increased heart rate - CORRECT ANSWERS D. Increased heart rate
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
Which clinical manifestation would indicate a worsening in the condition of a patient in the
refractory phase of shock?
A. Warm, flushed skin
B. Bleeding, oozing from IV sites
C. Increasing respiratory rate
D. Urine output of 20 mL/hr - CORRECT ANSWERS B. Bleeding, oozing from IV sites
The staff mix available for the medical-surgical unit includes RNs, LPNs/LVNs and nursing
assistants. Which of these clients does the nurse plan to assign to an experienced LPN/LVN?
A. Adult client who has had suturing of a facial tear that occurred when the client fell off a bike
onto a dirt road
B. Adult client who needs to be admitted for a grafting of a second degree burn on the right leg
C. Middle aged adult client who needs discharge teaching before going home after receiving
steroids for Stevens-Johnson syndrome
D. Older adult client with stage I pressure ulcer who needs to be turned every 2 hours -
CORRECT ANSWERS A. Adult client who has had suturing of a facial tear that occurred
when the client fell off a bike onto a dirt road
Which activity for the long-term care client does the nurse plan to assign to the LPN/LVN?
A. Develop a care plan for a client who has blisters caused by herpes zoster
B. Administer an antihistamine to a client who is describing pruritus
C. Teach a client how to self-assess for changes in skin lesions
, MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
D. Perform a baseline skin assessment for a newly admitted client - CORRECT ANSWERS
B. Administer an antihistamine to a client who is describing pruritus
During the postoperative client assessment, which skin condition discovered by the nurse
requires an urgent response?
A. Clubbing of the nail beds
B. Cool extremities
C. Cafe au lait spots
D. Warm red area on the calf - CORRECT ANSWERS D. Warm red area on the calf
While providing teaching to the client undergoing excisional biopsy, which statement will the
nurse include?
A. "Administration of local anesthetic agents may cause burning."
B. "The biopsy results will be available within 2 hours of the procedure."
C. "The dressing must remain in place for 48 hours."
D. "Redness and swelling at the puncture site are expected." - CORRECT ANSWERS A.
"Administration of local anesthetic agents may cause burning."
The older adult female client asks the nurse, "Why is my hair thinning?" After assuring the client
that this is normal sign of aging, what is the nurse's best follow-up response?
A. "How does this make you feel?"
B. "How is this affecting you?"
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
A 6-foot, 6-inch tall 38-year-old man is being mechanically ventilated at a tidal volume of 500
mL and a respiratory rate of 16 breaths per minute. His most recent arterial blood gas (ABG)
results are: pH = 7.33; Pao2 = 85 mm Hg; Paco2 = 55 mm Hg. What is the nurse's interpretation
of these results?
A. Ventilation is adequate to maintain oxygenation
B. Ventilation is excessive; respiratory alkalosis is present
C. Ventilation is inadequate; respiratory acidosis is present
D. Ventilation status cannot be determined from the information presented - CORRECT
ANSWERS C. Ventilation is inadequate; respiratory acidosis is present
At the hourly assessment of an intubated client after positive end-expiratory pressure (PEEP)
has been discontinued, the nurse notes all of the following changes. For which one does the
nurse notify the physician?
A. The client is now talking around the endotracheal tube
B. Breath sounds are reduced over the left lung compared with the right
C. Oxygen saturation has increased from 90% to 95% at an Fio2 of 40%
D. The PIP dial now drops to zero at the end of exhalation instead of to only 10 cm H2O -
CORRECT ANSWERS B. Breath sounds are reduced over the left lung compared with
the right
A patient is at risk for shock. Over the next hour, the patient continues to decline with a
decreased level of consciousness and a temperature of 103.8 degrees F. BP is 80/40, HR is 134
and RR is 34. You call the provider to report these findings and obtain orders for the patient to
be transferred to ICU. When preparing for this transfer, you note that the O2 saturation is 87%
on room air.
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
What intervention should you perform first?
A. Apply oxygen at 2-3 L per nasal cannula
B. Draw an arterial blood gas sample
C. Administer acetaminophen 650 mg by mouth
D. Place the patient on a cardiac telemetry monitor - CORRECT ANSWERS A. Apply
oxygen at 2-3 L per nasal cannula
A 37-year-old male is admitted with a severely abscessed tooth, BP 90/42, HR 136, RR 28, SpO2
90% on room air, T 38.7 degrees C. The nurse suspects sepsis from the tooth. The priority
intervention by the nurse would be to:
A. Administer prescribed antibiotics prior to blood cultures
B. Initiate intravenous fluid resuscitation
C. Obtain a complete chemistry for laboratory analysis
D. Insert an indwelling urinary catheter - CORRECT ANSWERS B. Initiate intravenous
fluid resuscitation
When assessing a patient for shock, the nurse knows that the earliest manifestation of shock is:
A. A decrease in respiratory rate and depth
B. A change in both systolic and diastolic blood pressure
C. Anuria
D. Increased heart rate - CORRECT ANSWERS D. Increased heart rate
,MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
Which clinical manifestation would indicate a worsening in the condition of a patient in the
refractory phase of shock?
A. Warm, flushed skin
B. Bleeding, oozing from IV sites
C. Increasing respiratory rate
D. Urine output of 20 mL/hr - CORRECT ANSWERS B. Bleeding, oozing from IV sites
The staff mix available for the medical-surgical unit includes RNs, LPNs/LVNs and nursing
assistants. Which of these clients does the nurse plan to assign to an experienced LPN/LVN?
A. Adult client who has had suturing of a facial tear that occurred when the client fell off a bike
onto a dirt road
B. Adult client who needs to be admitted for a grafting of a second degree burn on the right leg
C. Middle aged adult client who needs discharge teaching before going home after receiving
steroids for Stevens-Johnson syndrome
D. Older adult client with stage I pressure ulcer who needs to be turned every 2 hours -
CORRECT ANSWERS A. Adult client who has had suturing of a facial tear that occurred
when the client fell off a bike onto a dirt road
Which activity for the long-term care client does the nurse plan to assign to the LPN/LVN?
A. Develop a care plan for a client who has blisters caused by herpes zoster
B. Administer an antihistamine to a client who is describing pruritus
C. Teach a client how to self-assess for changes in skin lesions
, MEDSURG 2 FINAL EXAM QUESTIONS AND ANSWERS
LATEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION WITH 100% ACCURATE ANSWERS BEST RATED
TO SCORE A+ FOR SUCCESS
D. Perform a baseline skin assessment for a newly admitted client - CORRECT ANSWERS
B. Administer an antihistamine to a client who is describing pruritus
During the postoperative client assessment, which skin condition discovered by the nurse
requires an urgent response?
A. Clubbing of the nail beds
B. Cool extremities
C. Cafe au lait spots
D. Warm red area on the calf - CORRECT ANSWERS D. Warm red area on the calf
While providing teaching to the client undergoing excisional biopsy, which statement will the
nurse include?
A. "Administration of local anesthetic agents may cause burning."
B. "The biopsy results will be available within 2 hours of the procedure."
C. "The dressing must remain in place for 48 hours."
D. "Redness and swelling at the puncture site are expected." - CORRECT ANSWERS A.
"Administration of local anesthetic agents may cause burning."
The older adult female client asks the nurse, "Why is my hair thinning?" After assuring the client
that this is normal sign of aging, what is the nurse's best follow-up response?
A. "How does this make you feel?"
B. "How is this affecting you?"
