Herzing University NSG 223 Med Surg II Exam 2-
Questions with 100% Correct Answers | Verified |
Latest Update 2026
A client is admitted for c/o chest pain and aching x 4d. The serum creatine kinase-MB (CK-
MB) and troponin levels are obtained. What rationale should the nurse use to eval. the lab
findings?
Myocardial damage that occurred several days earlier is best validated by serum troponin levels.
A man who smokes 2 packs of cigarettes/day wants to know if smoking contributes to the
difficulty that he and his wife are having getting pregnant. What info can the nurse
provide?
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
A couple is trying to cope with infertility. What can be done to preserve emotional
equilibrium. What is the best response?
Get involved with a support group. I will give you some names
The nurse is providing post-op instructions for a post mastectomy. What info should the
nurse include in the teaching?
B. Report inflammation of the incision site or the affected arm
D. Avoid lifting more than 4.5kg (10lb) or reaching above head
,The nurse is assessing a middle-aged man for risk factors r/t chronic illness. Which finding
should the nurse further assess?
Increase in abdominal fat deposits.
The nurse is caring for a male client who had an inguinal herniorrhaphy three hrs. ago.
The client's lower abd. is distended and assesses dullness to percussion. What is the priority
action?
Determine the time the client last voided
The nurse is caring for a client with HIV who develops Mycobacterium avium complex
(MAC). What is the most significant desired outcome?
return to pre-illness wt.
A 26-year-old with Hodgkin's disease is scheduled to undergo radiation therapy. The pt.
expresses concern about the effect of radiation on his ability to have children. What info
should the nurse provide?
Permanent sterility occurs in male clients who receive radiation
A pt. had abdominal surgery two days ago has prescriptions for intravenous morphine
sulfate 4 mg every two hours and a clear liquid diet. The pt. c/o feeling distended and has
sharp, cramping gas pains. What nursing intervention should be implemented?
Asst. pt. to ambulate in the hall
A pt. with Ménière's disease is incapacitated by vertigo and is lying in bed grasping the side
rail and staring at the television. Which nursing intervention should the nurse implement?
, Turn off the tv and the lights
A pt. who has a chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What intervention should be implemented in the immediate post-procedure
period?
Pt. is to remain NPO until the gag reflex returns.
The nurse is assessing a pt. with a cuffed tracheostomy tube in place who is breathing
spontaneously. To evaluate if the pt. can tolerate cuff deflation to promote swallowing and
speaking, what action should the nurse implement?
Observe for coughing colored sputum after drinking a small amount of colored water
A pt. is admitted to the ED with a tension pneumothorax. Which assessment should the
nurse expect to find?
Deviation of the trachea toward the opposite side of the pneumothorax
Apt. with sickle cell anemia is admitted with severe abd. pain and the diagnosis is sickle cell
crisis. What is the most important nursing action to implement?
Evaluate the pts. pain and effectiveness of narcotic analgesics
A pt who is receiving a whole blood transfusion develops chills, fever, and a headache
thirty minutes after the transfusion is started. The nurse should recognize these symptoms
as what reaction?
A febrile transfusion reaction
Questions with 100% Correct Answers | Verified |
Latest Update 2026
A client is admitted for c/o chest pain and aching x 4d. The serum creatine kinase-MB (CK-
MB) and troponin levels are obtained. What rationale should the nurse use to eval. the lab
findings?
Myocardial damage that occurred several days earlier is best validated by serum troponin levels.
A man who smokes 2 packs of cigarettes/day wants to know if smoking contributes to the
difficulty that he and his wife are having getting pregnant. What info can the nurse
provide?
B. Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm counts.
D. Cessation of smoking improves general health and fertility.
A couple is trying to cope with infertility. What can be done to preserve emotional
equilibrium. What is the best response?
Get involved with a support group. I will give you some names
The nurse is providing post-op instructions for a post mastectomy. What info should the
nurse include in the teaching?
B. Report inflammation of the incision site or the affected arm
D. Avoid lifting more than 4.5kg (10lb) or reaching above head
,The nurse is assessing a middle-aged man for risk factors r/t chronic illness. Which finding
should the nurse further assess?
Increase in abdominal fat deposits.
The nurse is caring for a male client who had an inguinal herniorrhaphy three hrs. ago.
The client's lower abd. is distended and assesses dullness to percussion. What is the priority
action?
Determine the time the client last voided
The nurse is caring for a client with HIV who develops Mycobacterium avium complex
(MAC). What is the most significant desired outcome?
return to pre-illness wt.
A 26-year-old with Hodgkin's disease is scheduled to undergo radiation therapy. The pt.
expresses concern about the effect of radiation on his ability to have children. What info
should the nurse provide?
Permanent sterility occurs in male clients who receive radiation
A pt. had abdominal surgery two days ago has prescriptions for intravenous morphine
sulfate 4 mg every two hours and a clear liquid diet. The pt. c/o feeling distended and has
sharp, cramping gas pains. What nursing intervention should be implemented?
Asst. pt. to ambulate in the hall
A pt. with Ménière's disease is incapacitated by vertigo and is lying in bed grasping the side
rail and staring at the television. Which nursing intervention should the nurse implement?
, Turn off the tv and the lights
A pt. who has a chronic cough with blood-tinged sputum returns to the unit after a
bronchoscopy. What intervention should be implemented in the immediate post-procedure
period?
Pt. is to remain NPO until the gag reflex returns.
The nurse is assessing a pt. with a cuffed tracheostomy tube in place who is breathing
spontaneously. To evaluate if the pt. can tolerate cuff deflation to promote swallowing and
speaking, what action should the nurse implement?
Observe for coughing colored sputum after drinking a small amount of colored water
A pt. is admitted to the ED with a tension pneumothorax. Which assessment should the
nurse expect to find?
Deviation of the trachea toward the opposite side of the pneumothorax
Apt. with sickle cell anemia is admitted with severe abd. pain and the diagnosis is sickle cell
crisis. What is the most important nursing action to implement?
Evaluate the pts. pain and effectiveness of narcotic analgesics
A pt who is receiving a whole blood transfusion develops chills, fever, and a headache
thirty minutes after the transfusion is started. The nurse should recognize these symptoms
as what reaction?
A febrile transfusion reaction
