NURSING 102 MED SURGE FINAL EXAM, QUESTIONS AND
CORRECT ANSWERS 2025-2026 WITH HIGH PASSING
RATE/GRADED A+
Overview
Developed to reflect the structure, depth, and academic rigor of the Nursing 102 Medical-
Surgical Final Exam, this comprehensive study resource reinforces foundational med-surg
concepts essential for successful nursing practice. Covering a wide range of systems-based
disorders, pathophysiology, priority interventions, pharmacology, diagnostic interpretation,
and safe patient-care principles, this guide aligns with the 2025–2026 Nursing 102
curriculum standards.
Designed for clarity, accuracy, and high-impact learning, it equips students with the
knowledge, confidence, and clinical reasoning skills necessary to excel in Medical-Surgical
Nursing and achieve outstanding exam performance.
─────────────────────────────
Purpose
• To provide a complete, high-yield review for the Nursing 102 Med-Surg Final Exam
• To strengthen understanding of core medical-surgical nursing concepts
• To reinforce critical thinking, clinical judgment, and safe patient-care practices
• To enhance exam readiness and support academic success
─────────────────────────────
Recommended For
• Nursing students preparing for the 2025–2026 Nursing 102 Med-Surg Final Exam
• Learners seeking to build strong foundational med-surg nursing skills
• Tutors, instructors, and academic coaches developing structured med-surg study support
─────────────────────────────
Your Complete Nursing 102 Med-Surg Study Resource
With expertly organized questions and correct, detailed answers, the Nursing 102 Med-Surg
Final Exam Study Guide (2025–2026 Edition) provides the most comprehensive, reliable,
and effective preparation tool for mastering medical-surgical content and achieving a high
passing rate—graded A+ performance.
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
,A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes - ANSWER-C. Intense pain with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
A. Chills
B. Hypertension
C. Bradycardia
D. Back pain - ANSWER-A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should
the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting - ANSWER-B. Place two bed pillows
between the legs when in bed
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should
the nurse attend to first?
A. A client who has chronic obstructive pulmonary disease and an oxygen saturation of 89%
B. A client who has left-sided paralysis and slurred speech from a prior stroke
C. A client who has multiple sclerosis and reports ataxia and vertigo
D. A client who has thrombocytopenia and reports a nosebleed. - ANSWER-D. A client who has
thrombocytopenia and reports a nosebleed.
A nurse is caring for a client who has a newly inserted chest tube. The nurse should clarify which of
the following prescriptions with the provider
A. Vigorously strip the chest tube twice daily.
,B. Notify the provider when tiddling ceases.
C. Administer morphine 2 mg IV bolus every 3hr PRN for pain.
D. Assist the client out of bed three times daily - ANSWER-A. Vigorously strip the chest tube twice
daily.
A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm.
Which of the following actions should the nurse include in the pan of care?
A. Instruct the client to avoid lifting the right arm for 72hr
B. Check blood pressure in the right arm
C. Insert a saline lock into a site 10 cm (4 in) distal to the graft
D. Palpate the site for a thrill - ANSWER-D. Palpate the site for a thrill
A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the
following findings should the nurse identify as requiring a referral?
A. The client has a prescription for a furosemide
B. The client has a prescription for long term IV antibiotic therapy
C. The client has a WBC count of 20,000/mm3.
D. The client has type 2 diabetes mellites and HDA1C of 5 %. - ANSWER-B. The client has a
prescription for long term IV antibiotic therapy
A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed
several times. Which of the following actions should the nurse take first?
A. Ensure the tubing connections are secure
B. Reposition the clients left arm
C. Flush the IV catheter
D. Check the IV site for redness - ANSWER-D. Check the IV site for redness
A nurse is caring for a client who is 6hr postoperative following application of an external fixator for
a tibial fracture. Which of the following actions should the nurse take?
A. Maintain the affected extremity in a dependent position
, B. Wrap sterile gauze on the sharp point of the pins
C. Adjust the clamps on the fixator frame
D. Palpate the dorsalis pedis pulse. - ANSWER-D. Palpate the dorsalis pedis pulse.
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level on a
pain scale of 0 to 10. Which of the following interventions should the nurse take?
A. Place pillows under the clients knee
B. Gently massage the area around the clients incision
C. Apply an ice pack to the clients knee
D. Perform range-of-motion exercises to the clients knee - ANSWER-D. Perform range-of-motion
exercises to the clients knee
A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When
discussing peritonitis, which of the following manifestations should the nurse identify as the earliest
indication of this complication?
A. Fever
B. Cloudy effluent
C. Increased heart rate
D. Generalized abdominal pain - ANSWER-B. fever!!
A nurse is assessing a client who has acute pancreatitis and has been receiving a total parenteral
nutrition for the past 72hr. Which of the following findings requires the nurse to intervene? priority
A. Capillary blood glucose level 164 mg/dL
B. Crackles in bilateral lower lobes
C. WBC count 13,000/mm3
D. Right upper quadrant pain - ANSWER-B. Crackles in bilateral lower lobes
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only
the left extremity for which of the following clients?
A. A client who has a right upper extremity arteriovenous fistula
CORRECT ANSWERS 2025-2026 WITH HIGH PASSING
RATE/GRADED A+
Overview
Developed to reflect the structure, depth, and academic rigor of the Nursing 102 Medical-
Surgical Final Exam, this comprehensive study resource reinforces foundational med-surg
concepts essential for successful nursing practice. Covering a wide range of systems-based
disorders, pathophysiology, priority interventions, pharmacology, diagnostic interpretation,
and safe patient-care principles, this guide aligns with the 2025–2026 Nursing 102
curriculum standards.
Designed for clarity, accuracy, and high-impact learning, it equips students with the
knowledge, confidence, and clinical reasoning skills necessary to excel in Medical-Surgical
Nursing and achieve outstanding exam performance.
─────────────────────────────
Purpose
• To provide a complete, high-yield review for the Nursing 102 Med-Surg Final Exam
• To strengthen understanding of core medical-surgical nursing concepts
• To reinforce critical thinking, clinical judgment, and safe patient-care practices
• To enhance exam readiness and support academic success
─────────────────────────────
Recommended For
• Nursing students preparing for the 2025–2026 Nursing 102 Med-Surg Final Exam
• Learners seeking to build strong foundational med-surg nursing skills
• Tutors, instructors, and academic coaches developing structured med-surg study support
─────────────────────────────
Your Complete Nursing 102 Med-Surg Study Resource
With expertly organized questions and correct, detailed answers, the Nursing 102 Med-Surg
Final Exam Study Guide (2025–2026 Edition) provides the most comprehensive, reliable,
and effective preparation tool for mastering medical-surgical content and achieving a high
passing rate—graded A+ performance.
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg
fiberglass cast. Which of the following findings should the nurse expect?
,A. Capillary refill less than 2 seconds
B. Bounding distal pulses
C. Intense pain with movement
D. Erythema of the toes - ANSWER-C. Intense pain with movement
A nurse is monitoring a client who is receiving 2 units packed RBCs. Which of the following
manifestations indicates a hemolytic transfusion reaction?
A. Chills
B. Hypertension
C. Bradycardia
D. Back pain - ANSWER-A. Chills
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should
the nurse take to prevent hip dislocation?
A. Remove the wedge device when turning
B. Place two bed pillows between the legs when in bed
C. Encourage the client to lean forward when attempting to stand
D. Elevate the knees higher than the hips when sitting - ANSWER-B. Place two bed pillows
between the legs when in bed
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should
the nurse attend to first?
A. A client who has chronic obstructive pulmonary disease and an oxygen saturation of 89%
B. A client who has left-sided paralysis and slurred speech from a prior stroke
C. A client who has multiple sclerosis and reports ataxia and vertigo
D. A client who has thrombocytopenia and reports a nosebleed. - ANSWER-D. A client who has
thrombocytopenia and reports a nosebleed.
A nurse is caring for a client who has a newly inserted chest tube. The nurse should clarify which of
the following prescriptions with the provider
A. Vigorously strip the chest tube twice daily.
,B. Notify the provider when tiddling ceases.
C. Administer morphine 2 mg IV bolus every 3hr PRN for pain.
D. Assist the client out of bed three times daily - ANSWER-A. Vigorously strip the chest tube twice
daily.
A nurse is planning care for a client who has a newly implanted arteriovenous graft in the right arm.
Which of the following actions should the nurse include in the pan of care?
A. Instruct the client to avoid lifting the right arm for 72hr
B. Check blood pressure in the right arm
C. Insert a saline lock into a site 10 cm (4 in) distal to the graft
D. Palpate the site for a thrill - ANSWER-D. Palpate the site for a thrill
A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the
following findings should the nurse identify as requiring a referral?
A. The client has a prescription for a furosemide
B. The client has a prescription for long term IV antibiotic therapy
C. The client has a WBC count of 20,000/mm3.
D. The client has type 2 diabetes mellites and HDA1C of 5 %. - ANSWER-B. The client has a
prescription for long term IV antibiotic therapy
A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed
several times. Which of the following actions should the nurse take first?
A. Ensure the tubing connections are secure
B. Reposition the clients left arm
C. Flush the IV catheter
D. Check the IV site for redness - ANSWER-D. Check the IV site for redness
A nurse is caring for a client who is 6hr postoperative following application of an external fixator for
a tibial fracture. Which of the following actions should the nurse take?
A. Maintain the affected extremity in a dependent position
, B. Wrap sterile gauze on the sharp point of the pins
C. Adjust the clamps on the fixator frame
D. Palpate the dorsalis pedis pulse. - ANSWER-D. Palpate the dorsalis pedis pulse.
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level on a
pain scale of 0 to 10. Which of the following interventions should the nurse take?
A. Place pillows under the clients knee
B. Gently massage the area around the clients incision
C. Apply an ice pack to the clients knee
D. Perform range-of-motion exercises to the clients knee - ANSWER-D. Perform range-of-motion
exercises to the clients knee
A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When
discussing peritonitis, which of the following manifestations should the nurse identify as the earliest
indication of this complication?
A. Fever
B. Cloudy effluent
C. Increased heart rate
D. Generalized abdominal pain - ANSWER-B. fever!!
A nurse is assessing a client who has acute pancreatitis and has been receiving a total parenteral
nutrition for the past 72hr. Which of the following findings requires the nurse to intervene? priority
A. Capillary blood glucose level 164 mg/dL
B. Crackles in bilateral lower lobes
C. WBC count 13,000/mm3
D. Right upper quadrant pain - ANSWER-B. Crackles in bilateral lower lobes
A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only
the left extremity for which of the following clients?
A. A client who has a right upper extremity arteriovenous fistula
