MED SURG Final 09/29/2026
exam
MED SURG Final exam Latest Test Bank 1
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
A client diagnosed with diabetic neuropathy has a nonhealing ulcer on the lateral aspect of their right (R) foot.
Which question should the practical nurse (PN) ask to gather objective data for the development of a diabetic
foot care teaching plan?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
a. Ask the client how they examine their feet.
b. Ask which hypoglycemic medication they take.
c. Ask to look at the pair of shoes they wear.
d. Ask how long they have been diagnosed with diabetes mellitus. - Correct Answer :c. Ask to look at the pair of
shoes they wear.
Rationale:
Asking to look at the client's shoes will give the most objective data. The PN needs to inspect the client's shoes'
inside for any area such as a seam that may be rubbing against the client foot causing trauma to their feet. Well-
fitted shoes are very important to prevent the development of foot ulcers for the diabetic client.
A client with chronic pancreatitis has been taking pancreatin with meals. How does the nurse assist with
evaluating the effectiveness of the treatment?
a. The client has no further gallstones.
b. The powder is well mixed with applesauce.
c. The client's blood sugar remains in normal range.
d. The client's stools remain soft and medium brown in color. - Correct Answer :d. The client's stools remain soft
and medium brown in color.
The client taking pancreatin should have stools that are soft and medium brown in color. If the pancreatic
enzyme replacement is not effective, the stools would be loose, frequent, and have a fatty consistency.
Pancreatin will not prevent gallstones, nor stabilize the blood sugars. It is important that the pancreatin powder
be mixed well with applesauce, but ensuring it is mixed well will not determine effectiveness of the medication.
A client with a vaginal discharge and pruritus is diagnosed a yeast infection (Candidiasis) and is prescribed a 7-day
course of an intravaginal tioconazole. What information should the practical nurse provide to the client about
using this form of medication?
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
a. Wait at least 30 minutes before douching after insertion of the medication.
b. Remain recumbent for 5 to 15 minutes after insertion of the medication.
c. Do not eat anything 1 hour before or 2 hours after medication administration.
d. Sexual intercourse may be resumed after one dose of the medication. - Correct Answer :b. Remain
recumbent for 5 to 15 minutes after insertion of the medication.
:
The client should remain recumbent for 5 to 15 minutes after inserting the medication to facilitate absorption
and to prevent loss of medication from the vagina.
A client has a serum potassium level of 3 mEq/L. Which findings should the practical nurse report to the charge
nurse? (Select all that apply.)
a. Muscle cramps
b. Diarrhea
c. Altered blood glucose level
d. Increased energy
e. Abnormal heart rhythms
f. Increased anxiety - Correct Answer :a. Muscle cramps
e. Abnormal heart rhythms
A normal potassium level ranges from 3.5 to 5 mEq/L (mmol/L). Signs and symptoms of low potassium include
muscle cramps and dysrhythmias.
A client has visited the health care provider and has been diagnosed with type 2 diabetes mellitus. Which
symptom most likely prompted the client to seek medical attention?
a. Severe thirst
b. Increased urine output
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
c. Fruity odor to the breath
d. Frequent vaginal infections - Correct Answer :d. Frequent vaginal infections
Symptoms of type 2 diabetes arise more slowly and are less dramatic. The client may learn then have type 2
diabetes when being treated for frequent infections, a change in vision and impotence. Extreme thirst, hunger,
and a large urine output are more likely to be noticed with type 1 diabetes. Fruity odor to the breath is associated
with diabetic ketoacidosis (DKA). Type 2 diabetes is less likely to cause DKA.
The practical nurse is reinforcing osteoporosis prevention education to a group of senior citizens. The nurse
realizes teaching has been effective if the senior citizens select which life style choices will help decrease the risk
of developing osteoporosis? (Select all that apply.)
a. Alcohol in moderation and smoking cessation
b. Avoidance of extreme temperatures and altitudes
c. Regular weight-bearing exercises
d. Implementation of a home safety plan to prevent falls
e. Consumption of a diet rich in calcium and vitamin D - Correct Answer :a. Alcohol in moderation and smoking
cessation
c. Regular weight-bearing exercises
e. Consumption of a diet rich in calcium and vitamin D
Alcohol in moderation and smoking cessation, regular weight-bearing exercises at least 30 minutes a day, and
consumption of a diet rich in calcium and vitamin D are life style choices that decrease the risk for developing
osteoporosis.
A client status post-cholecystectomy 3 days is being prepared to be discharged home. Which client finding is the
best indication to the practical nurse that postoperative nursing interventions have prevented respiratory
complications?
a. Uses an incentive spirometer (IS) frequently.
JOYCEWWALES 4
exam
MED SURG Final exam Latest Test Bank 1
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
A client diagnosed with diabetic neuropathy has a nonhealing ulcer on the lateral aspect of their right (R) foot.
Which question should the practical nurse (PN) ask to gather objective data for the development of a diabetic
foot care teaching plan?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
a. Ask the client how they examine their feet.
b. Ask which hypoglycemic medication they take.
c. Ask to look at the pair of shoes they wear.
d. Ask how long they have been diagnosed with diabetes mellitus. - Correct Answer :c. Ask to look at the pair of
shoes they wear.
Rationale:
Asking to look at the client's shoes will give the most objective data. The PN needs to inspect the client's shoes'
inside for any area such as a seam that may be rubbing against the client foot causing trauma to their feet. Well-
fitted shoes are very important to prevent the development of foot ulcers for the diabetic client.
A client with chronic pancreatitis has been taking pancreatin with meals. How does the nurse assist with
evaluating the effectiveness of the treatment?
a. The client has no further gallstones.
b. The powder is well mixed with applesauce.
c. The client's blood sugar remains in normal range.
d. The client's stools remain soft and medium brown in color. - Correct Answer :d. The client's stools remain soft
and medium brown in color.
The client taking pancreatin should have stools that are soft and medium brown in color. If the pancreatic
enzyme replacement is not effective, the stools would be loose, frequent, and have a fatty consistency.
Pancreatin will not prevent gallstones, nor stabilize the blood sugars. It is important that the pancreatin powder
be mixed well with applesauce, but ensuring it is mixed well will not determine effectiveness of the medication.
A client with a vaginal discharge and pruritus is diagnosed a yeast infection (Candidiasis) and is prescribed a 7-day
course of an intravaginal tioconazole. What information should the practical nurse provide to the client about
using this form of medication?
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
a. Wait at least 30 minutes before douching after insertion of the medication.
b. Remain recumbent for 5 to 15 minutes after insertion of the medication.
c. Do not eat anything 1 hour before or 2 hours after medication administration.
d. Sexual intercourse may be resumed after one dose of the medication. - Correct Answer :b. Remain
recumbent for 5 to 15 minutes after insertion of the medication.
:
The client should remain recumbent for 5 to 15 minutes after inserting the medication to facilitate absorption
and to prevent loss of medication from the vagina.
A client has a serum potassium level of 3 mEq/L. Which findings should the practical nurse report to the charge
nurse? (Select all that apply.)
a. Muscle cramps
b. Diarrhea
c. Altered blood glucose level
d. Increased energy
e. Abnormal heart rhythms
f. Increased anxiety - Correct Answer :a. Muscle cramps
e. Abnormal heart rhythms
A normal potassium level ranges from 3.5 to 5 mEq/L (mmol/L). Signs and symptoms of low potassium include
muscle cramps and dysrhythmias.
A client has visited the health care provider and has been diagnosed with type 2 diabetes mellitus. Which
symptom most likely prompted the client to seek medical attention?
a. Severe thirst
b. Increased urine output
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
c. Fruity odor to the breath
d. Frequent vaginal infections - Correct Answer :d. Frequent vaginal infections
Symptoms of type 2 diabetes arise more slowly and are less dramatic. The client may learn then have type 2
diabetes when being treated for frequent infections, a change in vision and impotence. Extreme thirst, hunger,
and a large urine output are more likely to be noticed with type 1 diabetes. Fruity odor to the breath is associated
with diabetic ketoacidosis (DKA). Type 2 diabetes is less likely to cause DKA.
The practical nurse is reinforcing osteoporosis prevention education to a group of senior citizens. The nurse
realizes teaching has been effective if the senior citizens select which life style choices will help decrease the risk
of developing osteoporosis? (Select all that apply.)
a. Alcohol in moderation and smoking cessation
b. Avoidance of extreme temperatures and altitudes
c. Regular weight-bearing exercises
d. Implementation of a home safety plan to prevent falls
e. Consumption of a diet rich in calcium and vitamin D - Correct Answer :a. Alcohol in moderation and smoking
cessation
c. Regular weight-bearing exercises
e. Consumption of a diet rich in calcium and vitamin D
Alcohol in moderation and smoking cessation, regular weight-bearing exercises at least 30 minutes a day, and
consumption of a diet rich in calcium and vitamin D are life style choices that decrease the risk for developing
osteoporosis.
A client status post-cholecystectomy 3 days is being prepared to be discharged home. Which client finding is the
best indication to the practical nurse that postoperative nursing interventions have prevented respiratory
complications?
a. Uses an incentive spirometer (IS) frequently.
JOYCEWWALES 4
