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 client with alcohol-related liver disease is admitted to the unit. Which prescription should the nurse call the
health care provider about for reverification for this client?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A.
Vitamin K1, 5 mg IM daily
B.
High-calorie, low-sodium diet
C.
Fluid restriction to 1500 mL/day
D.
Nembutal sodium at bedtime for rest –
Correct Answer :D
Rationale:Sedatives such as pentobarbital are contraindicated for clients with liver damage and can have
dangerous consequences. Option A is often prescribed because the normal clotting mechanism is damaged.
Option B is needed to help restore energy to the debilitated client. Sodium is often restricted because of edema.
Fluids are restricted to decrease ascites, which often accompanies cirrhosis, particularly in the later stages of the
disease.
While at a home game, the mother of a 6-year-old is heard screaming, "My child is having an asthma attack! Can
anyone help?" The nurse arrives and finds the child gasping for breath with circumoral cyanosis. What are the
nurse's next actions? (Select all that apply.)
A.
Yell, "Call 911."
B.
Ask the mother if she has the child's bronchodilator.
C.
Start cardiopulmonary respirations.
D.
Ask the mother if the child is allergic to bee stings.
E.
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
Stay with the child and mother until the ambulance arrives.
F.
Sit the child straight up in Fowler's position. –
Correct Answer :A, B, E, F
Rationale:CPR is not needed at this time as the child is still moving air. An allergy to bee stings is related to
anaphylactic shock, which is not the situation here. The remaining actions are correct for asthma.
Which condition should the nurse anticipate as a potential problem in a female client with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis –
Correct Answer :B
Rationale:Infection is the major complication resulting from stasis of urine and subsequent catheterization.
Option A is the involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-
abdominal pressure. Option C is the most common symptom of bladder cancer. Option D is the most common
and serious complication of peritoneal dialysis.
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
The client is admitted to an inpatient unit from the Emergency Department with a swollen, reddened area to the
left calf which is warm and painful to the touch. The results of the remaining tests are pending. What admission
prescriptions does the nurse anticipate from the healthcare provider? (Select all that apply.)
A.
Bed rest
B.
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee. –
Correct Answer :A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right leg. Massaging the area of
tenderness could dislodge the clot and cause a pulmonary embolism. Avoid the use of the knee gatch or a pillow
under the knee as that could cause stasis in the lower leg. The remaining are recommendations for the client
with a deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of a female client who has genital
herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
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 client with alcohol-related liver disease is admitted to the unit. Which prescription should the nurse call the
health care provider about for reverification for this client?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
A.
Vitamin K1, 5 mg IM daily
B.
High-calorie, low-sodium diet
C.
Fluid restriction to 1500 mL/day
D.
Nembutal sodium at bedtime for rest –
Correct Answer :D
Rationale:Sedatives such as pentobarbital are contraindicated for clients with liver damage and can have
dangerous consequences. Option A is often prescribed because the normal clotting mechanism is damaged.
Option B is needed to help restore energy to the debilitated client. Sodium is often restricted because of edema.
Fluids are restricted to decrease ascites, which often accompanies cirrhosis, particularly in the later stages of the
disease.
While at a home game, the mother of a 6-year-old is heard screaming, "My child is having an asthma attack! Can
anyone help?" The nurse arrives and finds the child gasping for breath with circumoral cyanosis. What are the
nurse's next actions? (Select all that apply.)
A.
Yell, "Call 911."
B.
Ask the mother if she has the child's bronchodilator.
C.
Start cardiopulmonary respirations.
D.
Ask the mother if the child is allergic to bee stings.
E.
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
Stay with the child and mother until the ambulance arrives.
F.
Sit the child straight up in Fowler's position. –
Correct Answer :A, B, E, F
Rationale:CPR is not needed at this time as the child is still moving air. An allergy to bee stings is related to
anaphylactic shock, which is not the situation here. The remaining actions are correct for asthma.
Which condition should the nurse anticipate as a potential problem in a female client with a neurogenic bladder?
A.
Stress incontinence
B.
Infection
C.
Painless gross hematuria
D.
Peritonitis –
Correct Answer :B
Rationale:Infection is the major complication resulting from stasis of urine and subsequent catheterization.
Option A is the involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-
abdominal pressure. Option C is the most common symptom of bladder cancer. Option D is the most common
and serious complication of peritoneal dialysis.
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
The client is admitted to an inpatient unit from the Emergency Department with a swollen, reddened area to the
left calf which is warm and painful to the touch. The results of the remaining tests are pending. What admission
prescriptions does the nurse anticipate from the healthcare provider? (Select all that apply.)
A.
Bed rest
B.
Elevate the right leg.
C.
Anticoagulant therapy
D.
Massage the area of calf tenderness tid.
E.
Warm moist compress to the area of calf tenderness tid
F.
Place a pillow under the left knee. –
Correct Answer :A, C, E
Rationale:The left leg needs to be elevated above the level of the heart, not the right leg. Massaging the area of
tenderness could dislodge the clot and cause a pulmonary embolism. Avoid the use of the knee gatch or a pillow
under the knee as that could cause stasis in the lower leg. The remaining are recommendations for the client
with a deep vein thrombosis.
Which content about self-care should the nurse include in the teaching plan of a female client who has genital
herpes? (Select all that apply.)
A.
Encourage annual physical and Pap smear.
B.
Take antiviral medication as prescribed.
JOYCEWWALES 4
