med surg 2 final exam (test bank) ACTUAL exam: QUESTION AND
med surg 2 final exam (test bank)
ANSWERS UPDATED 2025
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1. The nurse is preparing for a home visit to a pa- Changing wound dressings
tient after surgery for a compound fracture. Which
specific care does the nurse anticipate for this pa-
tient?
2. A patient experiences a fracture of the lower leg Delay or absence of healing
and undergoes a closed reduction and placement
of a fiberglass cast. The patient is 65 years old and
has a medical 30-year history of diabetes mellitus.
Which condition does the nurse recognize as a
possible complication for this patient?
3. An older adult patient is postoperative for a total Medicated with oral pain med-
hip joint replacement. Which nursing care is inap- ications
propriate for this patient on the day of surgery?
4. The nurse is providing care for a patient who Manage preoperative pain.
is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this
time?
5. The nurse is providing care for a patient following There exists numbness and tin-
an open reduction of a compound fracture. Which gling sensations
neurologic finding does the nurse report immedi-
ately to the HCP or registered nurse (RN)?
6. A patient with gout has been instructed on "It blocks formation of uric acid."
the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding
of the action of this medication?
7. The nurse is contributing to the plan of care for a The upper extremity is more spe-
patient who has an upper extremity amputation. cialized.
, med surg 2 final exam (test bank)
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Which factor does the nurse keep in mind about
this type of amputation being more debilitating
than a lower extremity amputation?
8. A patient who has a displaced midshaft fracture of Notify the RN.
the left femur is in balanced suspension skeletal
traction with 35 pounds of weight. The patient re-
ports calf pain with right foot dorsiflexion. Which
action does the nurse take?
9. The home-care nurse is attending to a patient with Clean technique is used when the
osteomyelitis in a lower extremity from a traumat- dressing is changed.
ic bone fracture. The patient has an open wound
that is infected. Which observation prompts the
nurse to provide additional information to the pa-
tient and family?
10. The nurse is providing care for a patient being Presence of a petechial rash on
treated after a complicated femur fracture. The chest and neck
nurse has noticed drowsiness, tachycardia, and a
low-grade fever. Which additional manifestation
alerts the nurse to the possibility of a fat emboli?
11. The nurse is assisting with the preparation of ma- The ages of adults have in-
terials for a health fair aimed at promoting health creased.
in women. Which reason does the nurse recognize
as a probable cause of an increase in the incidence
of osteoporosis?
12. The nurse is providing care for a patient who ex- Pallor with extremity warmth
perienced a closed reduction to a fracture of the
ulna. Which manifestation does the nurse recog-
, med surg 2 final exam (test bank)
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nize as an early symptom of acute compartment
syndrome?
13. The nurse is providing care for a patient after an Lying on the abdomen as pre-
above-the-knee amputation because of ischemia scribed
related to diabetes mellitus complications. Which
nursing care is essential for promoting ambula-
tion?
14. A patient is being prepared for a prosthesis follow- Skin inspection is performed
ing surgery for an amputation. Which information each time the sock is removed.
will the nurse provide to the client regarding the
use of a prosthesis?
15. The nurse is providing care for a patient with ex- Monitoring pin and wound sites
ternal fixation for a fracture involving severe bone for signs of infection
damage. Which is the most important focus for
the nurse during care of this patient?
16. The nurse is assisting with the care of a patient It is essential to monitor all body
with rheumatoid arthritis (RA). The nurse must systems for effects of the disease.
remember in which way RA care is different from
osteoarthritis care. Which nursing care does the
nurse specifically provide for the patient with RA?
17. The nurse is assisting with patients on an orthope- A triangular pillow is used be-
dic unit. Which is an important factor to remember tween the legs to avoid adduc-
when caring for patients after a total hip replace- tion.
ment?
18. The nurse is assisting with the care of patients Maintain proper joint alignment.
who have had joint replacement surgery. Which
med surg 2 final exam (test bank)
ANSWERS UPDATED 2025
Study online at https://quizlet.com/_b8u7ie
1. The nurse is preparing for a home visit to a pa- Changing wound dressings
tient after surgery for a compound fracture. Which
specific care does the nurse anticipate for this pa-
tient?
2. A patient experiences a fracture of the lower leg Delay or absence of healing
and undergoes a closed reduction and placement
of a fiberglass cast. The patient is 65 years old and
has a medical 30-year history of diabetes mellitus.
Which condition does the nurse recognize as a
possible complication for this patient?
3. An older adult patient is postoperative for a total Medicated with oral pain med-
hip joint replacement. Which nursing care is inap- ications
propriate for this patient on the day of surgery?
4. The nurse is providing care for a patient who Manage preoperative pain.
is scheduled for joint replacement the next day.
Which patient care goals are appropriate at this
time?
5. The nurse is providing care for a patient following There exists numbness and tin-
an open reduction of a compound fracture. Which gling sensations
neurologic finding does the nurse report immedi-
ately to the HCP or registered nurse (RN)?
6. A patient with gout has been instructed on "It blocks formation of uric acid."
the prescribed medication allopurinol (Zyloprim).
Which patient statement indicates understanding
of the action of this medication?
7. The nurse is contributing to the plan of care for a The upper extremity is more spe-
patient who has an upper extremity amputation. cialized.
, med surg 2 final exam (test bank)
Study online at https://quizlet.com/_b8u7ie
Which factor does the nurse keep in mind about
this type of amputation being more debilitating
than a lower extremity amputation?
8. A patient who has a displaced midshaft fracture of Notify the RN.
the left femur is in balanced suspension skeletal
traction with 35 pounds of weight. The patient re-
ports calf pain with right foot dorsiflexion. Which
action does the nurse take?
9. The home-care nurse is attending to a patient with Clean technique is used when the
osteomyelitis in a lower extremity from a traumat- dressing is changed.
ic bone fracture. The patient has an open wound
that is infected. Which observation prompts the
nurse to provide additional information to the pa-
tient and family?
10. The nurse is providing care for a patient being Presence of a petechial rash on
treated after a complicated femur fracture. The chest and neck
nurse has noticed drowsiness, tachycardia, and a
low-grade fever. Which additional manifestation
alerts the nurse to the possibility of a fat emboli?
11. The nurse is assisting with the preparation of ma- The ages of adults have in-
terials for a health fair aimed at promoting health creased.
in women. Which reason does the nurse recognize
as a probable cause of an increase in the incidence
of osteoporosis?
12. The nurse is providing care for a patient who ex- Pallor with extremity warmth
perienced a closed reduction to a fracture of the
ulna. Which manifestation does the nurse recog-
, med surg 2 final exam (test bank)
Study online at https://quizlet.com/_b8u7ie
nize as an early symptom of acute compartment
syndrome?
13. The nurse is providing care for a patient after an Lying on the abdomen as pre-
above-the-knee amputation because of ischemia scribed
related to diabetes mellitus complications. Which
nursing care is essential for promoting ambula-
tion?
14. A patient is being prepared for a prosthesis follow- Skin inspection is performed
ing surgery for an amputation. Which information each time the sock is removed.
will the nurse provide to the client regarding the
use of a prosthesis?
15. The nurse is providing care for a patient with ex- Monitoring pin and wound sites
ternal fixation for a fracture involving severe bone for signs of infection
damage. Which is the most important focus for
the nurse during care of this patient?
16. The nurse is assisting with the care of a patient It is essential to monitor all body
with rheumatoid arthritis (RA). The nurse must systems for effects of the disease.
remember in which way RA care is different from
osteoarthritis care. Which nursing care does the
nurse specifically provide for the patient with RA?
17. The nurse is assisting with patients on an orthope- A triangular pillow is used be-
dic unit. Which is an important factor to remember tween the legs to avoid adduc-
when caring for patients after a total hip replace- tion.
ment?
18. The nurse is assisting with the care of patients Maintain proper joint alignment.
who have had joint replacement surgery. Which
