1|Page
NUR 242 MED SURG FINAL EXAM NEWEST
2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+|NEWEST
VERSION!!
When the balloon on an indwelling urinary catheter is blown up,
the patient expresses discomfort. What should the nurse do? a.
Remove the catheter
b. Continue to blow up the balloon because discomfort is
expected
c. Aspirate the fluid from the balloon and advance the catheter
d. Pull back on the catheter slightly to determine tension
ANS: C
The balloon might not be fully into the bladder so make sure you
are in the bladder by aspirating and then advancing
The nurse notes that there has only been 100mL of urine output
from his patient's Foley catheter in 6hrs. The nurse should do
which of the following first? a. Instruct the patient to drink two
glasses of water
b. Notify the MD immediately
c. Irrigate the Foley with 30mL of sterile saline
d. Assess the catheter tubing and the patient's abdomen
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Ans:D
The nurse should first determine whether urine is being retained
in the bladder. This can be accomplished through palpation of the
bladder and/or checking the catheter tubing for kinks.
A patient asks if she can have an indwelling catheter because she
is in too much pain to get up to the bathroom after surgery. The
nurse explains that catheters should be utilized only when
necessary because: a. They are the leading cause of nosocomial
infection
b. They are too expensive for routine use
c. They contain latex, increasing risk for allergies
d. You cannot get up and walk with them, and ambulation is
important
Which of the following steps is necessary when a patient is
prepared for an IV solution? A. Shaving the hair from the site
B. Selecting a proximal site in an extremity
C. Applying a tourniquet 4-6 inches above the selected site
D. Vigorously taping and massaging the selected vein.
ANS: C
No Shaving needed
Most distal site
Do not tap or massage vein
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Why is the IV push considered a dangerous method by which to
adminster medications? (select all that apply) A. It does not allow
time to correct errors
B. It may be irritating to the lining of the blood vessels
C. It can cause pain and abscesses
D. It can cause sloughing of tissue
ANS: ABCD
What should the nurse do when discontinuing a peripheral IV? A.
Withdrawl the catheter quickly
B. Keep the hub perpendicular to the skin
C. Apply pressure to the site for 1 minute
D. Inspect the catheter for intactness after removal
ANS: D
Don't reinsert
Do not want fragments of the catheter
True or False? Intravenous therapy is a method of replacing fliud
and electrolytes into the blood stream rather than the digestive
system. ANS: True
When considering an IV site which one of these are true? A. Avoid
areas easily bumped in the elderly and children (like the wrists)
B.Always start with proximal and move more distal
C. Avoid any site which appears infected
NUR 242 MED SURG FINAL EXAM NEWEST
2025 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH
RATIONALES |ALREADY GRADED A+|NEWEST
VERSION!!
When the balloon on an indwelling urinary catheter is blown up,
the patient expresses discomfort. What should the nurse do? a.
Remove the catheter
b. Continue to blow up the balloon because discomfort is
expected
c. Aspirate the fluid from the balloon and advance the catheter
d. Pull back on the catheter slightly to determine tension
ANS: C
The balloon might not be fully into the bladder so make sure you
are in the bladder by aspirating and then advancing
The nurse notes that there has only been 100mL of urine output
from his patient's Foley catheter in 6hrs. The nurse should do
which of the following first? a. Instruct the patient to drink two
glasses of water
b. Notify the MD immediately
c. Irrigate the Foley with 30mL of sterile saline
d. Assess the catheter tubing and the patient's abdomen
,2|Page
Ans:D
The nurse should first determine whether urine is being retained
in the bladder. This can be accomplished through palpation of the
bladder and/or checking the catheter tubing for kinks.
A patient asks if she can have an indwelling catheter because she
is in too much pain to get up to the bathroom after surgery. The
nurse explains that catheters should be utilized only when
necessary because: a. They are the leading cause of nosocomial
infection
b. They are too expensive for routine use
c. They contain latex, increasing risk for allergies
d. You cannot get up and walk with them, and ambulation is
important
Which of the following steps is necessary when a patient is
prepared for an IV solution? A. Shaving the hair from the site
B. Selecting a proximal site in an extremity
C. Applying a tourniquet 4-6 inches above the selected site
D. Vigorously taping and massaging the selected vein.
ANS: C
No Shaving needed
Most distal site
Do not tap or massage vein
, 3|Page
Why is the IV push considered a dangerous method by which to
adminster medications? (select all that apply) A. It does not allow
time to correct errors
B. It may be irritating to the lining of the blood vessels
C. It can cause pain and abscesses
D. It can cause sloughing of tissue
ANS: ABCD
What should the nurse do when discontinuing a peripheral IV? A.
Withdrawl the catheter quickly
B. Keep the hub perpendicular to the skin
C. Apply pressure to the site for 1 minute
D. Inspect the catheter for intactness after removal
ANS: D
Don't reinsert
Do not want fragments of the catheter
True or False? Intravenous therapy is a method of replacing fliud
and electrolytes into the blood stream rather than the digestive
system. ANS: True
When considering an IV site which one of these are true? A. Avoid
areas easily bumped in the elderly and children (like the wrists)
B.Always start with proximal and move more distal
C. Avoid any site which appears infected
