MED SURG Final 09/29/2026
exam
MED SURG Final exam 2 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 58-year-old client who has no health problems asks the nurse about receiving the pneumococcal vaccine.
Which statement given by the nurse would offer the client accurate information about this vaccine?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A.
The vaccine is given annually before the flu season to those older than 50 years.
B.
The immunization is administered once to older adults or those at risk for illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5 years. –
Correct Answer :B
Rationale:It is usually recommended that persons older than 65 years and those with a history of chronic illness
should receive the vaccine once in their lifetime. Some recommend receiving the vaccine at 50 years of age. The
influenza vaccine is given once a year. Although the vaccine might be given to a person traveling overseas, that
is not the main rationale for administering the vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia, revaccination is sometimes required.
A client is admitted to the hospital with severe lower left abdominal pain, nausea, vomiting, fever, and chills.
Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - Correct Answer :A
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for peritonitis and intestinal
obstruction. The nurse should make the client NPO to reduce risk of intestinal rupture. Options B, C, and D are
important but are less of a priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. –
Correct Answer :B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to convert
the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular dysrhythmias.
Option C is not for a client with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee replacement. Which client statements about
use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use the hand pieces."
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
C.
"I will move my right foot forward into the walker, and then my left foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces and rubber tips." –
Correct Answer :A, B, C
Rationale:The nurse is teaching about use of a walker. Having the walker collapsed at night does not help with
nighttime ambulation to the restroom. The client is at risk for falling. Silicone is a slippery material and placing
silicone on the rubber tips of the walker places the client at risk for falling. The remaining client statements about
use of a walker are correct.
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the nurse take with the
staff caring for this client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding the client.
C.
Assure the employees that they cannot contract hepatitis B when providing direct care.
D.
Tell the employees that wearing gloves and a gown are required when providing all care. –
Correct Answer :A
Rationale:Hepatitis B vaccine should be administered to all health care providers. Hepatitis A (not hepatitis B)
can be transmitted by fecal-oral contamination. There is a chance that staff could contract hepatitis B if exposed
JOYCEWWALES 4
exam
MED SURG Final exam 2 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 58-year-old client who has no health problems asks the nurse about receiving the pneumococcal vaccine.
Which statement given by the nurse would offer the client accurate information about this vaccine?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A.
The vaccine is given annually before the flu season to those older than 50 years.
B.
The immunization is administered once to older adults or those at risk for illness.
C.
The vaccine is for all ages and is given primarily to those persons traveling overseas to areas of infection.
D.
The vaccine will prevent the occurrence of pneumococcal pneumonia for up to 5 years. –
Correct Answer :B
Rationale:It is usually recommended that persons older than 65 years and those with a history of chronic illness
should receive the vaccine once in their lifetime. Some recommend receiving the vaccine at 50 years of age. The
influenza vaccine is given once a year. Although the vaccine might be given to a person traveling overseas, that
is not the main rationale for administering the vaccine. The vaccine is usually given once in a lifetime, but with
immunosuppressed clients or clients with a history of pneumonia, revaccination is sometimes required.
A client is admitted to the hospital with severe lower left abdominal pain, nausea, vomiting, fever, and chills.
Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. - Correct Answer :A
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for peritonitis and intestinal
obstruction. The nurse should make the client NPO to reduce risk of intestinal rupture. Options B, C, and D are
important but are less of a priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. –
Correct Answer :B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to convert
the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular dysrhythmias.
Option C is not for a client with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee replacement. Which client statements about
use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use the hand pieces."
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
C.
"I will move my right foot forward into the walker, and then my left foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces and rubber tips." –
Correct Answer :A, B, C
Rationale:The nurse is teaching about use of a walker. Having the walker collapsed at night does not help with
nighttime ambulation to the restroom. The client is at risk for falling. Silicone is a slippery material and placing
silicone on the rubber tips of the walker places the client at risk for falling. The remaining client statements about
use of a walker are correct.
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the nurse take with the
staff caring for this client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding the client.
C.
Assure the employees that they cannot contract hepatitis B when providing direct care.
D.
Tell the employees that wearing gloves and a gown are required when providing all care. –
Correct Answer :A
Rationale:Hepatitis B vaccine should be administered to all health care providers. Hepatitis A (not hepatitis B)
can be transmitted by fecal-oral contamination. There is a chance that staff could contract hepatitis B if exposed
JOYCEWWALES 4
