Lomoarcpsd|26582732
Medical-Surgical Nursing Final Exam
2025-2026, (Harvard University)
, lOMoARcPSD|26582732
1. Nurse Elena Is Assessing A Patient With Liver D. Consume The Largest Meal Of The Day In The
Cirrhosis And Is Vigilant For Signs Of Evening.
Complications. During The Evaluation, She
Notes A Specific Finding That Raises Concern 4. Nurse Brian Is Giving Discharge Instructions
For Hepatic Encephalopathy. Which Assessment To Mr. Lopez, A Client Recovering From A
Finding Is Most Indicative Of This Condition? A. Gastrectomy. To Help Prevent Dumping
Observation Of Asterixis. Syndrome, Nurse Brian Advises The Client To
Take Which Measure?
B. Positive Hepatojugular Reflux. A. Sit Upright In A High-Fowler’s Position While
Eating.
C. Presence Of Chvostek’s Sign.
B. Include High-Carbohydrate Foods In Meals.
D. Presence Of Trousseau’s Sign.
C. Take A Walk After Eating To Aid Digestion.
2. Dr. Martin Diagnoses Mr. Lewis With
Hepatitis And Determines That The Infection D. Reduce The Amount Of Fluid Consumed
Was Contracted Through Contaminated Food. During Meals.
Nurse Sarah Reviews The Case And Identifies
5. Nurse Carla Is Assessing The Stoma Of A
Which Type Of Hepatitis The Client Is Most
Patient With A Well-Healed Colostomy. Which
Likely Dealing With.
Appearance Would Indicate A Healthy And
A. Hepatitis A Normal Stoma?
B. Hepatitis B A. Red And Moist.
C. Hepatitis C B. Pale, Pink, And Moist.
D. Hepatitis D C. Dry And Black.
3. Nurse Williams Is Preparing A Discharge D. Dark Or Purple In Color.
Teaching Plan For Jeff, A 27-Year-Old Patient
6. Nurse Daniel Is Caring For A Patient
Who Recently Had Surgery To Close A
Diagnosed With Achalasia, Characterized By
Temporary Ileostomy. As Part Of The
Incomplete Relaxation Of The Esophageal
Nutritional Education, What Guideline Should
Sphincter. To Help Manage Symptoms And
Nurse Williams Include To Support Jeff's
Improve Esophageal Motility, Which
Recovery And Adaptation?
Medication Does Nurse Daniel Anticipate
A. Limit Fluid Intake To Prevent Complications. Administering? A. Digoxin (Lanoxin).
B. Eat Six Smaller Meals Throughout The Day. B. Propranolol (Inderal).
C. Maintain Regular Eating Habits Without C. Isosorbide Dinitrate (Isordil).
Modification.
D. Captopril (Capoten).
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, lOMoARcPSD|26582732
7. Nurse Clara Is Teaching Mr. Reynolds, A D. It Promotes Healing Of The Stomach Lining.
Patient With A Colostomy, How To Perform
Ostomy Self-Care. When Instructing Him On 10. Nurse Daniel Is Preparing To Administer
How To Measure And Cut The Wafer, What Medication To Mr. Collins Through His
Should Nurse Clara Recommend? Nasogastric Tube, Which Is Connected To
Suction. To Ensure Proper Medication
A. Cut The Wafer Opening 1/2 Inch Larger Administration And Effectiveness, What Is The
Than The Stoma To Maximize Airflow. Most Appropriate Action For Nurse Daniel To
Take?
B. Cut The Wafer Opening 1/4 Inch Larger
Than The Stoma To Allow For Swelling. A. Aspirate The Nasogastric Tube
Following Medication Administration To Keep It
C. Cut The Wafer Opening Exactly To The Open.
Size Of The Stoma To Ensure A Snug Fit.
D. Cut The Wafer Opening 1/8 Inch Larger B. Clamp The Nasogastric Tube For 30
Than The Stoma To Prevent Irritation. Minutes After Giving The Medication.
8. Nurse Linda Is Teaching Ms. Carter How To C. Place The Client In A Supine Position To
Perform A Colostomy Irrigation. To Improve The Enhance Medication Absorption.
Effectiveness Of The Irrigation And Enhance
Fecal Returns, What Should Nurse Linda Advise D. Adjust The Suction To Low Intermittent
The Client To Do? For 30 Minutes Post-Administration.
11. Nurse Franklin Is Conducting Preoperative
A. Use A Smaller Amount Of Irrigation Solution. Teaching With Gertrude, A 50-Year-Old Patient
With Ulcerative Colitis, Who Is Scheduled For
B. Increase Daily Fluid Intake. Surgery To Create An Ileoanal Reservoir. Nurse
C. Apply Heat To The Abdomen. Franklin Explains The Procedure And Its Stages.
What Key Information Should Be Included In
D. Schedule The Irrigation In The Evening. This Teaching?
9. Nurse Julia Is Discussing An Upcoming A. A Second Surgery Will Be Performed 12
Vagotomy With Mr. Andrews, A Male Client Months Later.
Diagnosed With A Peptic Ulcer. When He Asks
About The Purpose Of The Procedure, How B. A Reservoir Will Exit Through The Abdominal
Should Nurse Julia Respond? Wall.
A. It Reduces The Signals That Stimulate Acid C. A Permanent Ileostomy Will Be Created.
Production.
D. The Procedure Is Completed In Two Stages.
B. It Lowers The Stomach's Ability To Absorb
12. Student Nurse Mia Is Developing A Teaching
Food.
Care Plan For A Patient With Achalasia To Help
C. It Stops The Body's Stress Responses. Improve Nutrition And Manage Symptoms
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, lOMoARcPSD|26582732
During Meals. Which Recommendation Should D. Palpate The Liver At The Margin Of The Right
Be Included In The Care Plan? Ribs.
A. Refrain From Drinking Fluids During Meals. 15. Nurse Amy Is Monitoring A Patient
Recovering From A Billroth II Procedure
B. Consume Meals While Sitting Upright. Performed To Treat A Peptic Ulcer. During Her
C. Eliminate Soft And Semi-Soft Foods From The Assessment, She Evaluates For Signs Of
Diet. Dumping Syndrome, A Known Complication Of
This Surgery. Which Symptoms Would Indicate
D. Lean Forward While Swallowing Foods. That The Patient Is Developing Dumping
Syndrome?
13. Nurse Clara Is Caring For A Post-Abdominal
Surgery Patient Who Experiences A Sudden A. Difficulty Breathing (Dyspnea) And Chest
Wound Evisceration Following A Severe Discomfort.
Coughing Episode. After Calling The Physician,
Nurse Clara Takes Immediate Action To Protect B. Headache Along With A Slow Heart Rate
The Exposed Organs. What Is The Most (Bradycardia).
Appropriate Intervention? C. Lightheadedness Accompanied By Excessive
Sweating.
A. Apply A Dry Sterile Dressing And Secure
It With A Binder. D. Flushed Appearance With Dry Skin.
B. Irrigate The Wound And Exposed 16. Nurse Julia Is Reviewing The Orders For Mr.
Organs Using Betadine Solution. Grant, A Male Client Hospitalized With Acute
Pancreatitis. While Assessing The Physician’s
C. Cover The Wound With A Sterile
Orders, She Identifies One That May Not Be
Dressing Soaked In Saline.
D. Gently Push The Organs Back In Place Appropriate For This Condition And Plans To
And Cover With Moist Sterile Dressings. Clarify It. Which Order Should Nurse Julia
Question?
14. Nurse Carla Is Conducting An Abdominal
Assessment On Mr. James. After Inspecting The A. "Administer Morphine 2 Mg IV Every 4 Hours
Skin Of His Abdomen, She Prepares To Proceed PRN For Pain."
With The Next Step In The Assessment Process. B. "Provide A High-Fat, Low-Protein Diet To
Which Technique Should Nurse Carla Perform Promote Calorie Intake."
Next?
C. "Begin A Clear Liquid Diet Once Pain
A. Listen To Bowel Sounds Across All Quadrants. Subsides."
B. Palpate The Abdomen To Assess Size. D. "Administer IV Fluids At 150 Ml/Hr To
Maintain Hydration."
C. Perform Percussion In The Right Lower
Quadrant. 17. Nurse David Is Providing Postoperative
Instructions To Mr. Harris, Who Recently Had
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Medical-Surgical Nursing Final Exam
2025-2026, (Harvard University)
, lOMoARcPSD|26582732
1. Nurse Elena Is Assessing A Patient With Liver D. Consume The Largest Meal Of The Day In The
Cirrhosis And Is Vigilant For Signs Of Evening.
Complications. During The Evaluation, She
Notes A Specific Finding That Raises Concern 4. Nurse Brian Is Giving Discharge Instructions
For Hepatic Encephalopathy. Which Assessment To Mr. Lopez, A Client Recovering From A
Finding Is Most Indicative Of This Condition? A. Gastrectomy. To Help Prevent Dumping
Observation Of Asterixis. Syndrome, Nurse Brian Advises The Client To
Take Which Measure?
B. Positive Hepatojugular Reflux. A. Sit Upright In A High-Fowler’s Position While
Eating.
C. Presence Of Chvostek’s Sign.
B. Include High-Carbohydrate Foods In Meals.
D. Presence Of Trousseau’s Sign.
C. Take A Walk After Eating To Aid Digestion.
2. Dr. Martin Diagnoses Mr. Lewis With
Hepatitis And Determines That The Infection D. Reduce The Amount Of Fluid Consumed
Was Contracted Through Contaminated Food. During Meals.
Nurse Sarah Reviews The Case And Identifies
5. Nurse Carla Is Assessing The Stoma Of A
Which Type Of Hepatitis The Client Is Most
Patient With A Well-Healed Colostomy. Which
Likely Dealing With.
Appearance Would Indicate A Healthy And
A. Hepatitis A Normal Stoma?
B. Hepatitis B A. Red And Moist.
C. Hepatitis C B. Pale, Pink, And Moist.
D. Hepatitis D C. Dry And Black.
3. Nurse Williams Is Preparing A Discharge D. Dark Or Purple In Color.
Teaching Plan For Jeff, A 27-Year-Old Patient
6. Nurse Daniel Is Caring For A Patient
Who Recently Had Surgery To Close A
Diagnosed With Achalasia, Characterized By
Temporary Ileostomy. As Part Of The
Incomplete Relaxation Of The Esophageal
Nutritional Education, What Guideline Should
Sphincter. To Help Manage Symptoms And
Nurse Williams Include To Support Jeff's
Improve Esophageal Motility, Which
Recovery And Adaptation?
Medication Does Nurse Daniel Anticipate
A. Limit Fluid Intake To Prevent Complications. Administering? A. Digoxin (Lanoxin).
B. Eat Six Smaller Meals Throughout The Day. B. Propranolol (Inderal).
C. Maintain Regular Eating Habits Without C. Isosorbide Dinitrate (Isordil).
Modification.
D. Captopril (Capoten).
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
7. Nurse Clara Is Teaching Mr. Reynolds, A D. It Promotes Healing Of The Stomach Lining.
Patient With A Colostomy, How To Perform
Ostomy Self-Care. When Instructing Him On 10. Nurse Daniel Is Preparing To Administer
How To Measure And Cut The Wafer, What Medication To Mr. Collins Through His
Should Nurse Clara Recommend? Nasogastric Tube, Which Is Connected To
Suction. To Ensure Proper Medication
A. Cut The Wafer Opening 1/2 Inch Larger Administration And Effectiveness, What Is The
Than The Stoma To Maximize Airflow. Most Appropriate Action For Nurse Daniel To
Take?
B. Cut The Wafer Opening 1/4 Inch Larger
Than The Stoma To Allow For Swelling. A. Aspirate The Nasogastric Tube
Following Medication Administration To Keep It
C. Cut The Wafer Opening Exactly To The Open.
Size Of The Stoma To Ensure A Snug Fit.
D. Cut The Wafer Opening 1/8 Inch Larger B. Clamp The Nasogastric Tube For 30
Than The Stoma To Prevent Irritation. Minutes After Giving The Medication.
8. Nurse Linda Is Teaching Ms. Carter How To C. Place The Client In A Supine Position To
Perform A Colostomy Irrigation. To Improve The Enhance Medication Absorption.
Effectiveness Of The Irrigation And Enhance
Fecal Returns, What Should Nurse Linda Advise D. Adjust The Suction To Low Intermittent
The Client To Do? For 30 Minutes Post-Administration.
11. Nurse Franklin Is Conducting Preoperative
A. Use A Smaller Amount Of Irrigation Solution. Teaching With Gertrude, A 50-Year-Old Patient
With Ulcerative Colitis, Who Is Scheduled For
B. Increase Daily Fluid Intake. Surgery To Create An Ileoanal Reservoir. Nurse
C. Apply Heat To The Abdomen. Franklin Explains The Procedure And Its Stages.
What Key Information Should Be Included In
D. Schedule The Irrigation In The Evening. This Teaching?
9. Nurse Julia Is Discussing An Upcoming A. A Second Surgery Will Be Performed 12
Vagotomy With Mr. Andrews, A Male Client Months Later.
Diagnosed With A Peptic Ulcer. When He Asks
About The Purpose Of The Procedure, How B. A Reservoir Will Exit Through The Abdominal
Should Nurse Julia Respond? Wall.
A. It Reduces The Signals That Stimulate Acid C. A Permanent Ileostomy Will Be Created.
Production.
D. The Procedure Is Completed In Two Stages.
B. It Lowers The Stomach's Ability To Absorb
12. Student Nurse Mia Is Developing A Teaching
Food.
Care Plan For A Patient With Achalasia To Help
C. It Stops The Body's Stress Responses. Improve Nutrition And Manage Symptoms
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
During Meals. Which Recommendation Should D. Palpate The Liver At The Margin Of The Right
Be Included In The Care Plan? Ribs.
A. Refrain From Drinking Fluids During Meals. 15. Nurse Amy Is Monitoring A Patient
Recovering From A Billroth II Procedure
B. Consume Meals While Sitting Upright. Performed To Treat A Peptic Ulcer. During Her
C. Eliminate Soft And Semi-Soft Foods From The Assessment, She Evaluates For Signs Of
Diet. Dumping Syndrome, A Known Complication Of
This Surgery. Which Symptoms Would Indicate
D. Lean Forward While Swallowing Foods. That The Patient Is Developing Dumping
Syndrome?
13. Nurse Clara Is Caring For A Post-Abdominal
Surgery Patient Who Experiences A Sudden A. Difficulty Breathing (Dyspnea) And Chest
Wound Evisceration Following A Severe Discomfort.
Coughing Episode. After Calling The Physician,
Nurse Clara Takes Immediate Action To Protect B. Headache Along With A Slow Heart Rate
The Exposed Organs. What Is The Most (Bradycardia).
Appropriate Intervention? C. Lightheadedness Accompanied By Excessive
Sweating.
A. Apply A Dry Sterile Dressing And Secure
It With A Binder. D. Flushed Appearance With Dry Skin.
B. Irrigate The Wound And Exposed 16. Nurse Julia Is Reviewing The Orders For Mr.
Organs Using Betadine Solution. Grant, A Male Client Hospitalized With Acute
Pancreatitis. While Assessing The Physician’s
C. Cover The Wound With A Sterile
Orders, She Identifies One That May Not Be
Dressing Soaked In Saline.
D. Gently Push The Organs Back In Place Appropriate For This Condition And Plans To
And Cover With Moist Sterile Dressings. Clarify It. Which Order Should Nurse Julia
Question?
14. Nurse Carla Is Conducting An Abdominal
Assessment On Mr. James. After Inspecting The A. "Administer Morphine 2 Mg IV Every 4 Hours
Skin Of His Abdomen, She Prepares To Proceed PRN For Pain."
With The Next Step In The Assessment Process. B. "Provide A High-Fat, Low-Protein Diet To
Which Technique Should Nurse Carla Perform Promote Calorie Intake."
Next?
C. "Begin A Clear Liquid Diet Once Pain
A. Listen To Bowel Sounds Across All Quadrants. Subsides."
B. Palpate The Abdomen To Assess Size. D. "Administer IV Fluids At 150 Ml/Hr To
Maintain Hydration."
C. Perform Percussion In The Right Lower
Quadrant. 17. Nurse David Is Providing Postoperative
Instructions To Mr. Harris, Who Recently Had
Downloaded by NELSON KIIRU ()
