Medsurg 2 Final Exam Questions and
Answers Graded A+
The client reports that a previously sensitive area of skin no longer responds to
temperature changes or painful stimuli. This finding indicates a functional
abnormality for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis - Correct answer-D. Dermis
During skin inspection the nurse observes three lesions on the client's right knee.
The lesions are round, have a raised border, and are grouped in a "smiley face"
pattern. Which descriptors does the nurse use to document these observations?
A. Annular, circinate, clustered
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,B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like - Correct answer-A. Annular, circinate,
clustered
Which technique for obtaining a specimen for bacterial culture is most correct for
the nurse to use with a client who has crusted skin lesions on the upper back?
A. Remove several crusts, and swab the underlying exudate.
B. Dampen the culture swab with sterile water, and then roll the swab over the
central crusts.
C. Apply a gauze bandage to the area, remove it after 1 hour, and send the entire
gauze to the laboratory.
D. Clean the area with an antibacterial solution, remove a crust from the center of
the cluster of lesions, and send it to the laboratory. - Correct answer-A. Remove
several crusts, and swab the underlying exudate.
An 88-year-old man is admitted to the ED from home with weakness and acute
confusion.What is the nurse's priority for his care to maintain client safety?
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,A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking - Correct answer-B. Ensure that
siderails are raised on his stretcher
A client is admitted to the ED with multiple stab wounds to his chest, abdomen and
arms. What is the nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness - Correct answer-B. Assess and maintain the
client's airway
An older client with heat stroke is being cooled with a cooling blanket and ice
packs under her arms and behind her neck. What assessment indicates to the nurse
that the cooling process is effective?
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, A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr - Correct answer-C. The client's
temperature is 100 degrees F
An older client is preparing for a trip to a cold-weather area and asks the nurse how
he can prevent hypothermia while visiting there. Which preventative actions will
the nurse include in the health teaching? Select all that apply.
A. Wear cotton clothing to help absorb moisture
B. Layer clothing to keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks - Correct answer-B. Layer clothing to keep
heat near the body
C. Avoid skiing if it is snowing heavily
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Answers Graded A+
The client reports that a previously sensitive area of skin no longer responds to
temperature changes or painful stimuli. This finding indicates a functional
abnormality for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis - Correct answer-D. Dermis
During skin inspection the nurse observes three lesions on the client's right knee.
The lesions are round, have a raised border, and are grouped in a "smiley face"
pattern. Which descriptors does the nurse use to document these observations?
A. Annular, circinate, clustered
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like - Correct answer-A. Annular, circinate,
clustered
Which technique for obtaining a specimen for bacterial culture is most correct for
the nurse to use with a client who has crusted skin lesions on the upper back?
A. Remove several crusts, and swab the underlying exudate.
B. Dampen the culture swab with sterile water, and then roll the swab over the
central crusts.
C. Apply a gauze bandage to the area, remove it after 1 hour, and send the entire
gauze to the laboratory.
D. Clean the area with an antibacterial solution, remove a crust from the center of
the cluster of lesions, and send it to the laboratory. - Correct answer-A. Remove
several crusts, and swab the underlying exudate.
An 88-year-old man is admitted to the ED from home with weakness and acute
confusion.What is the nurse's priority for his care to maintain client safety?
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,A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking - Correct answer-B. Ensure that
siderails are raised on his stretcher
A client is admitted to the ED with multiple stab wounds to his chest, abdomen and
arms. What is the nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness - Correct answer-B. Assess and maintain the
client's airway
An older client with heat stroke is being cooled with a cooling blanket and ice
packs under her arms and behind her neck. What assessment indicates to the nurse
that the cooling process is effective?
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, A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr - Correct answer-C. The client's
temperature is 100 degrees F
An older client is preparing for a trip to a cold-weather area and asks the nurse how
he can prevent hypothermia while visiting there. Which preventative actions will
the nurse include in the health teaching? Select all that apply.
A. Wear cotton clothing to help absorb moisture
B. Layer clothing to keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks - Correct answer-B. Layer clothing to keep
heat near the body
C. Avoid skiing if it is snowing heavily
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