MED SURG Final 09/29/2026
exam
MED SURG Final exam 4 Latest Test Bank
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
The nurse is assigned the care of a client whose spiritual beliefs are vastly different from the nurse's background.
What action should the nurse take?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
a. Tell the client "I am uncomfortable with some of the religious items in your room."
b. Tell the client "I will leave you alone most of the day so you can pray uninterrupted."
c. Ask the client "Do you have any spiritual needs or concerns related to your health?"
d. Tell the client "We only have regular food here, but your family can bring you food." –
Correct Answer :c. Ask the client "Do you have any spiritual needs or concerns related to your health?"
Rationale:
During time of illness, spiritual practices may be a source of comfort to the client. The nurse should ask clients if
there are any spiritual needs or concerns related to their health that need to be addressed. It is inappropriate for
the nurse to mention discomfort with religious items in the client's room. The nurse should not leave the client
alone for most of the day, but should ask if there are particular times the client would like to pray or meditate.
The nurse can then plan care around those times whenever possible. Referring to facility food as "regular food"
insinuates that the client's foods are abnormal. In addition, depending on the client's prescribed diet, the family
may or may not be able to bring in additional foods.
A client with a history of emphysema is hospitalized for an exacerbation of the disease. The nurse expects to see
which aspect emphasized in the plan of care?
a. Oxygen administered at 6 L/m via nasal cannula.
b. Fluids to be restricted to less than 1500 mL/day.
c. Supine or low Fowler's position while resting in bed.
d. Information on smoking cessation classes and support. - Correct Answer :d. Information on smoking
cessation classes and support.
Rationale:
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
The client should have information provided on smoking cessation classes and support while quitting. Oxygen is
given at a low flow rate to prevent respiratory depression due to suppression of the stimulus to breathe. Fluids
are encouraged to 3000 mL unless contraindicated. The client should be positioned sitting upright and bending
slightly forward to promote breathing.
A client diagnosed with a fracture of the left radius has a plaster cast applied. The nurse has reinforced
instructions for drying the cast over the next 24 hours. Which statement by the client indicates the teaching was
effective?
a. "I will wrap the cast in plastic wrap for 24 hours."
b. "I will support the cast on a firm surface during the night."
c. "I will not cover it; instead I'll keep the cast surfaces exposed to circulating air."
d. "I can use a blow dryer on medium setting until the plaster cast feels dry to the touch." - Correct Answer :c. "I
will not cover it; instead I'll keep the cast surfaces exposed to circulating air."
Rationale:
The nurse should instruct the client to keep the cast exposed to circulating air and avoid covering it with material
that might keep it moist.
A client is diagnosed with acute myocardial infarction (MI). Which diagnostic laboratory value should the
practical nurse (PN) anticipate to be the first to elevate to establish a diagnosis of an acute myocardial infarction
(MI)?
a. Elevated troponin
b. Elevated creatine kinase-MB (CK-MB) level
c. Prolonged prothrombin time (PT)
d. Elevated serum blood urea nitrogen (BUN) and creatinine - Correct Answer :a. Elevated troponin
Rationale:
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
Tissue damage in the myocardium causes the release of cardiac enzymes into the blood system. According to
the American College of Cardiology (ACS) and the European Society of cardiology (ESC), an elevation of the
troponin will occur within 2 to 3 hours of an MI and is used to establish the diagnosis. It takes the CK-MB level 6
to 9 hours or longer to elevate.
A plan of care for a 56-year-old client who has been diagnosed with osteopenia has been developed. The plan is
focused on preventing further bone resorption and increasing bone mass. Which outcome statement should be
included in the plan of care?
a. The nurse practitioner will instruct the client on the use of alendronate.
b. The client will decrease the number of cigarettes smoked by 50% within 2 weeks.
c. The client will swim for 30 minutes three to four times per week for the next 2 months.
d. The practical nurse will provide the client with a list of foods that are high in calcium - Correct Answer :b. The
client will decrease the number of cigarettes smoked by 50% within 2 weeks.
Rationale:
A desired outcome statement should be client-centered with a measurable outcome, and the client decreasing
the number of cigarettes smoked by 50% within 2 weeks is both client-centered and measurable. Cigarette
smoking has a negative effect on bone resorption, so the client should be advised to stop smoking.
In order to provide culturally competent care to a group of clients, what action must the practical nurse do first?
a. Treat each client the same, regardless of race or religion.
b. Ensure that all Native American clients have access to a shaman.
c. Understand one's own world views in addition to the client's.
d. Include the family in the plan of care for older adult clients. - Correct Answer :c. Understand one's own world
views in addition to the client's.
Rationale:
JOYCEWWALES 4
exam
MED SURG Final exam 4 Latest Test Bank
with Over 200 Questions and correct
answers with rationales | Medical Surgical
Nursing II Latest Final Exam Review / Med
Surge 2 final exam
The nurse is assigned the care of a client whose spiritual beliefs are vastly different from the nurse's background.
What action should the nurse take?
JOYCEWWALES 1
, MED SURG Final 09/29/2026
exam
a. Tell the client "I am uncomfortable with some of the religious items in your room."
b. Tell the client "I will leave you alone most of the day so you can pray uninterrupted."
c. Ask the client "Do you have any spiritual needs or concerns related to your health?"
d. Tell the client "We only have regular food here, but your family can bring you food." –
Correct Answer :c. Ask the client "Do you have any spiritual needs or concerns related to your health?"
Rationale:
During time of illness, spiritual practices may be a source of comfort to the client. The nurse should ask clients if
there are any spiritual needs or concerns related to their health that need to be addressed. It is inappropriate for
the nurse to mention discomfort with religious items in the client's room. The nurse should not leave the client
alone for most of the day, but should ask if there are particular times the client would like to pray or meditate.
The nurse can then plan care around those times whenever possible. Referring to facility food as "regular food"
insinuates that the client's foods are abnormal. In addition, depending on the client's prescribed diet, the family
may or may not be able to bring in additional foods.
A client with a history of emphysema is hospitalized for an exacerbation of the disease. The nurse expects to see
which aspect emphasized in the plan of care?
a. Oxygen administered at 6 L/m via nasal cannula.
b. Fluids to be restricted to less than 1500 mL/day.
c. Supine or low Fowler's position while resting in bed.
d. Information on smoking cessation classes and support. - Correct Answer :d. Information on smoking
cessation classes and support.
Rationale:
JOYCEWWALES 2
, MED SURG Final 09/29/2026
exam
The client should have information provided on smoking cessation classes and support while quitting. Oxygen is
given at a low flow rate to prevent respiratory depression due to suppression of the stimulus to breathe. Fluids
are encouraged to 3000 mL unless contraindicated. The client should be positioned sitting upright and bending
slightly forward to promote breathing.
A client diagnosed with a fracture of the left radius has a plaster cast applied. The nurse has reinforced
instructions for drying the cast over the next 24 hours. Which statement by the client indicates the teaching was
effective?
a. "I will wrap the cast in plastic wrap for 24 hours."
b. "I will support the cast on a firm surface during the night."
c. "I will not cover it; instead I'll keep the cast surfaces exposed to circulating air."
d. "I can use a blow dryer on medium setting until the plaster cast feels dry to the touch." - Correct Answer :c. "I
will not cover it; instead I'll keep the cast surfaces exposed to circulating air."
Rationale:
The nurse should instruct the client to keep the cast exposed to circulating air and avoid covering it with material
that might keep it moist.
A client is diagnosed with acute myocardial infarction (MI). Which diagnostic laboratory value should the
practical nurse (PN) anticipate to be the first to elevate to establish a diagnosis of an acute myocardial infarction
(MI)?
a. Elevated troponin
b. Elevated creatine kinase-MB (CK-MB) level
c. Prolonged prothrombin time (PT)
d. Elevated serum blood urea nitrogen (BUN) and creatinine - Correct Answer :a. Elevated troponin
Rationale:
JOYCEWWALES 3
, MED SURG Final 09/29/2026
exam
Tissue damage in the myocardium causes the release of cardiac enzymes into the blood system. According to
the American College of Cardiology (ACS) and the European Society of cardiology (ESC), an elevation of the
troponin will occur within 2 to 3 hours of an MI and is used to establish the diagnosis. It takes the CK-MB level 6
to 9 hours or longer to elevate.
A plan of care for a 56-year-old client who has been diagnosed with osteopenia has been developed. The plan is
focused on preventing further bone resorption and increasing bone mass. Which outcome statement should be
included in the plan of care?
a. The nurse practitioner will instruct the client on the use of alendronate.
b. The client will decrease the number of cigarettes smoked by 50% within 2 weeks.
c. The client will swim for 30 minutes three to four times per week for the next 2 months.
d. The practical nurse will provide the client with a list of foods that are high in calcium - Correct Answer :b. The
client will decrease the number of cigarettes smoked by 50% within 2 weeks.
Rationale:
A desired outcome statement should be client-centered with a measurable outcome, and the client decreasing
the number of cigarettes smoked by 50% within 2 weeks is both client-centered and measurable. Cigarette
smoking has a negative effect on bone resorption, so the client should be advised to stop smoking.
In order to provide culturally competent care to a group of clients, what action must the practical nurse do first?
a. Treat each client the same, regardless of race or religion.
b. Ensure that all Native American clients have access to a shaman.
c. Understand one's own world views in addition to the client's.
d. Include the family in the plan of care for older adult clients. - Correct Answer :c. Understand one's own world
views in addition to the client's.
Rationale:
JOYCEWWALES 4
