Long Island University NUR440/ NUR 440 Medical Surgical Nursing II Exam 2 | Complete Questions and Answers Latest 2026.

Long Island University NUR440/ NUR 440 Medical Surgical Nursing II Exam 2 | Complete Questions and Answers Latest 2026. 1. A nurse is planning care for a client with hepatitis B. Which of the following actions should the nurse take? a. Administration of antivirals b. administration of a low protein diet c. frequent neurological assessment d. Use of acetaminophen for fever 2. a nurse is caring for a client who had a total thyroidectomy one day ago and is receiving pain medication. In which of the following position should the nurse place the client? a. Semi Fowler's b. right side, lateral c. Flat, supine d. Lithotomy 3. a nurse is caring for a client who has to parancentesis. which of the following is an appropriate nursing intervention? Select all that apply a. monitoring the amount/ color of drainage b. checking a vital signs every 15 minutes c. placing the client in a prone position d. monitoring of respiratory staff e. Measuring abdominal girth f. monitoring for bleeding 4. a nurse is reviewing her plan of care for a client with myxedema coma. which of the following tasks should the nurse delegate to the assistive personnel? a. order a low-pressure mattress b. reposition the client frequently in bed c. assess for cold intolerance d. caution the client to avoid sedatives 5. Dont have 6. a nurse in a clinic is gathering data for a client who states he is concerned about developing pancreatic cancer. Which of the following findings should the nurse identify as a risk factor for the development of pancreatic cancer? Select all that apply a. family history b. infectious hepatitis c. cigarette smoking d. Hispanic e. Bile duct stone f. low fat diet7. A nurse is reviewing the medical record of a client with hepatocellular carcinoma (HCC). the nurse should realize which of the following findings contributes to the development of HCC? a. chronic pancreatitis b. hepatitis C c. hepatitis A d. chronic cholecystitis 8. a nurse is caring for a client with esophageal varices. which of the following statements should the nurse anticipate the provider will prescribe? a. Cryoprecipitate b. Ribavirin c. Vasopressin d. Aspirin 9. a nurse is assessing a client who has cholelithiasis. which of the following findings is the priority for the nurse to report to the provider? a. abdominal pain b. Bloating and nausea c. fat intolerance d. clay-colored stools 10. a nurse is caring for a client who is receiving low-dose prednisone daily following an organ transplant. Which of the following actions should the nurse take? a. Medicate the client with oral phosphate supplements b. instruct the client to increase his intake of calcium c. advise the client to stop the drug once infection develops d. restrict client's fluid intake to half a liter per day 11. A nurse is preparing to administer levothyroxine. Which of the following aspects of the client assessment data should lead the nurse to question the administration of the medication? a. complaints of chest tightness b. weight gain of 2.5 lb / 2 weeks c. load exercise tolerance d. increase hours of sleeping 12. a nurse is documenting the amount of fluids that was consumed by his client who is on a 1 liter fluid restriction per day the client reported that he had 3 oz of juice 3 oz of coffee 6 oz of water and half an ounce of liquid medication for the last 12 hours. The client is getting an infusion of 0.9 NaCl of 43 ml per hour. How many more mL of fluid is the client allowed to have for the next 12 hours? a. 10913. A nurse is providing discharge teaching to a client with adrenocortical insufficiency. which of the following items should be included in the discharge teaching? select all that apply a. fall prevention b. hormone replacement therapy c. low sodium diet d. use of Medic Alert bracelet e. weight reduction f. oxygen therapy 14. a nurse is monitoring a client who has acute pancreatitis. Which of the following findings should the nurse report immediately to the provider? a. Jaundice b. high grade fever c. Chvotek’s sign d. Tachypnea 15. A client in a surgical unit states she does not understand how she will be alright without her gallbladder. The nurse should explain to the client that which of the following is the main function of the gallbladder? a. Releases gastrin b. stores insulin c. secretes trypsin d. stores bile 16. A nurse is caring for a client with acute infectious hepatitis. Which laboratory results finding is a priority for the nurse to report to the provider? a. increase INR b. increase WBC c. increase ALP d. increase AST 17. a nurse is caring for a client with acute cholecystitis which has experienced severe nausea and vomiting. Which of the following actions should the nurse take first? a. Infuse IV fluids b. insert NGT c. do patient teaching d. check glucose18. a nurse is assessing a client who is 1-day post-operative following thyroidectomy. Which of the following findings should be of greatest concern to the nurse? a. complaints of pain b. laryngeal stridor c. dry mouth an oral mucous membranes d. hematoma formation in the operative site 19. a nurse is working in an Endocrine Clinic. Which of the following findings should cause the nurse to suspect pheochromocytoma? a. Tachycardia and hypertension b. Somnolence and weight gain c. Diaphoresis and gynecomastia d. bradycardia and hypoglycemia 20. a nurse has received change-of-shift report on four clients. which of the following clients should the nurse plan to see first? a. a client with hypothyroidism with irregular menstruation for the last 3 months b. a client with Addison's disease complaining of increased muscle weakness c. a client with hyperthyroidism complaining of just having 3 hours of sleep last night d. a client with Cushing syndrome with the blood glucose level of 298 mg/dL 21. A client states that she does not understand how she will be alright without her adrenal gland. The nurse should explain to the client that which of the following is the main hormone secreted by the Adrenal medulla? a. Vasopressin b. Parathormone c. Thyroxine d. Epinephrine 22. a nurse is assessing a client who has Hashimoto’s thyroiditis. which of the following findings should the nurse expect? a. Palpitations b. hand tremors c. Somnolence d. Fine, silky hair23. a nurse is instructing an assistive Personnel about caring for a client who has chronic pancreatitis and has greasy, fatty stools. which of the following infection control precautions should the nurse instruct the AP to use? a. Droplet b. Standard c. Airborne d. Contact 24. A charge nurse in the emergency department is assisting the novice nurse in caring for a client who had just come in with acute pancreatitis. Which of the following actions taken by the novice nurse would require the charge nurse intervene? a. medicating the client with IV opioid analgesics NESPOLI STUDENT CHOSE THIS b. place in the client's head of bed to 15 degrees and extending his knees when lying flat c. maintaining the Klein on NPO status d. auscultating the client lung sounds and checking the clients oxygen saturation 25. a nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should indicate to the nurse that the client is effectively responding to the treatment a. increased thirst b. increased urine specific gravity c. Decreased weight d. Decreased serum sodium level 26. a nurse is caring for a client with a cytus. The nurse should plan to monitor the client for which of the following complications? a. difficulty of breathing b. Hyperalbuminemia c. Cholecystitis d. decrease abdominal girth 27. a nurse is caring for a client following an open cholecystectomy. which of the following nursing interventions is of highest priority? a. deep breathing exercises b. Home Care teaching c. drainage of T tube or JP drain d. administration of opioids28. nurses answering a question asked by a family member of a client with hepatic encephalopathy. Which of the following information should the student nurse give the client family member? a. hepatic encephalopathy is related to overconsumption of high protein foods b. hepatic encephalopathy is related to manifestations of alcohol withdrawal c. hepatic encephalopathy is an incurable illness associated with esophageal varices d. hepatic encephalopathy is related to a high level of ammonia in the blood / hepatic encephalopathy is a reversible syndrome associated with esophageal bleeds 29. nurse is caring for a client with hyperthyroidism with a prescription for levothyroxine 0.0125 mg PO daily in. the available dose comes in many strings. How many tablets are you going to give? a. a quarter of a 75 mcg tablet b. 0.5 tablet of 25 mcg (they chose d but its wrong) c. one tablet of 125 mcg d. 0.5 tablet of 50 mcg 30. a nurse is planning care for a client with chronic pancreatitis. Which of the following actions should the nurse plan to implement? a. preparing the client for lower endoscopy b. instructing the client about low calcium diet c. medicating the client with fluorouracil d. monitoring the client for vitamin deficiencies 31. a nurse is providing discharge teaching to a client who underwent laparoscopic cholecystectomy. which of the following statements by the client indicates a need for further teaching? a. I need to avoid lifting heavy objects for the next few weeks b. I can go back to work after only three months of recovery c. I need to call my provider if I'm experiencing severe abdominal pain d. I need to have a follow-up appointment with my provider 32. a nurse is in a GI clinic is caring for a client who has suspected hepatitis A. Which of the following behaviors is associated with a potential risk for Hepatitis A? a. intravenous drug use b. eating raw seafood c. receiving a tattoo d. having multiple sex partners33. a nurse is doing a presentation at a community center about hyperthyroidism. Which of the following information should the nurse include in the presentation? a. hyperthyroidism always develops into thyroid cancer b. hypothyroidism will result in decreased metabolism inside the body c. hyperthyroidism occurs more in women than in men d. hyperthyroidism can develop after radioactive iodine therapy 34. a nurse is planning care for a client with Cushing's syndrome who is scheduled to undergo a minor surgical procedure. Which of the following diet is the most appropriate for the nurse to recommend to this client? a. high protein b. Low potassium c. low calorie d. high sodium 35. A nurse is caaerig for a client with hepatic encephalopathy. The nurse shold anticipate a prescription for which of the following? a. Lactulose b. Atenolol c. Clopidogrel d. Glucagon 36. A nurse in a medical clinic is counseling a client with fatty liver about lifestyle change. Which of the followign should the nurse recommend to client to strictly follow? a. Frequent exercise b. High fat diet c. Vape smoking d. High sodium 37. A nurse is teaching a student nurse about the functions of liver. Which o the following statements made by the student nurse indicates a need for further teaching? a. The liver produces platelets b. The liver produces proteins c. The liver excretes bile d. The liver stores glucose 38. A nurse is preparing to administer a stat dose of 1.5 grams of calcium gluconate SIVP for over 5 minutes to a client with severe hypocalcemia. The available dose is 100 mg/mL. How many mL should the nurse administer per minute? a. 339. A nurse is caring for a client with cirrhosis. Which of the following laboratory values should the nurse most frequently monitor? a. Basophil count b. Triglyceride level c. Ferritin level d. Serum ammonia 40. Nurse is caring for a client who has a syndrome of inappropriate antidiuretic hormone (SIADH). which of the following finding places the client at risk for developing this condition? a. penicillin therapy b. lung cancer c. frequent diarrhea d. Depression 41. a nurse is providing information to a group of nursing students about hepatitis C. Which of the following information about the management of hepatitis C is accurate? a. presently there are no drugs available to treat clients with hepatitis C b. hepatitis C shares the same risk factors and transmission of hepatitis B c. hepatitis C can I lead to the development of cirrhosis d. there is a new vaccine that is used to prevent hepatitis C 42. A Nurse is caring for a client with Addison's disease. The client asks how to prevent Addisonian crisis. which of the following suggestions should the nurse make? a. Take a higher dose of hydrocortisone before going to sleep at night b. go to your provider for dose adjustment when undergoing stress c. never undergo any form of surgery even if it's a minor procedure d. taper the dose of the hydrocortisone only when you feel better 43. a nurse is caring for a client suspected of having pheochromocytoma. which of the following diagnostic/ Laboratory test should the nurse expect the provider to prescribe? a. MRI of the brain and spinal cord b. endoscopic retrograde cholangiopancreatography (ERCP) c. Nuclear scintigraphy of the thyroid d. 24-hour urine collection for metanephrines/VMA 44. Is caring for a client with diabetes insipidus. Which of the following is an appropriate nursing intervention? a. administer hypertonic saline solution b. assess the client's level of consciousness c. maintain half liter fluid restriction d. Medicaid the client with diureticsNESPOLI’S EXAM 45. Which of the following statements about the management of ascites indicates a need for further teaching? a. Therapeutic paracentesis prevents the recurrence of ascites b. Diuretic therapy has a role in management of ascites c. Diet includes restrictions of sodium to less than 2000 mg/day d. The most common cause of ascites is liver cirrhosis 46. Which of the following statements about hepatitis made by a student nurse indicates a need for further teaching? a. Liver function tests are significantly elevated in acute viral hepatitis b. Blood test showing hepatitis antibody (IgM Ab) confirm the diagnosis of viral hepatitis c. PT/INR elevation are not good indicators of the severity of the hepatitis infection d. A large percentage of clients with Hepatitis C do not have symptoms 47. Which of the following statements by a client who had multiple attacks of cholecytitis indicates a need for further teaching? a. I should avoid all dairy products b. I should incorporate fish oil capsules into my daily medication regimen c. I should eat lean meats in moderation d. I need to incorporate fiber in my diet 48. Which of the following statements about the management of hepatitis C is correct? a. Presently there are medications that can cure hepatitis C b. there is a vaccine for Hepatitis C which can be used as prevention c. hepatitis C and hepatitis B have differed risk factors and transmission rods d. hepatitis C can I progress to cirrhosis 49. In discussing the prevention of hepatitis A which of the following individuals should the nurse advised to take the hepatitis A vaccine? a. travelers to any country outside of the United States b. people who are homeless c. Health care workers d. Men and women in monagamous heterosexual relationships 50. The nurse is aware that management of the client after an esophageal bleed related to varices include a. maintenance of IV access in anticipation of transfusion need b. Maintaining the climb in a high Fowler's position if a Sengstaken-Blakemore tube is in place c. monitoring of serum urea levels to evaluate potential changes in mental status d. small frequent feedings to enhance nutritionals 51. A patient is admitted with jaundice, fever and right upper quadrant pain. The nurse is aware that these manifestations are consistent with a. Charcot’s triad b. Acute pancreatitisc. Chronic pancreatitis d. acute hepatitis 52. All of the following behaviors are associated with the potential risk for Hepatitis B except only one answer a. bathing in potentially contaminated water b. Needle stick injury c. unprotected sexual activity d. receiving a tattoo 53. Which of the following Laboratory test is most specific for liver dysfunction? a. ALT b. AST c. alkaline phosphatase d. Bilirubin 54. Which of the following laboratory values should the nurse anticipate for the client with cirrhosis? a. Hyperkalemia b. Hypoalbuminemia c. Leukopenia d. Hypernatremia 55. The nurse is discussing hepatitis A transmission with a client Who is planning to travel to an area where hepatitis A is endemic……. SATA a. only consume foods that have been cooked b. any fruit is acceptable as long as rinsed c. get Hepatitis A vaccine before you travel d. no special care is needed before eating raw vegetables e. use antibacterial gel rather than soap and water to wash your hands 56. In caring for the patient post open cholecystectomy the nurse should incorporate in the plan of care a. oral analgesics for pain management b. monitoring of T tube dressing and output c. High Fowler's position d. use of pancreatic enzymes with oral feedings 57. which of the following statements about liver cancer indicates a correct understanding of the disease process? a. tumors originating in the liver primary tumors are common b. the sign and symptoms of liver cancer and viral hepatitis are the same c. deaths from liver cancer have declined in all demographics over the last several years d. emerge already of primary liver cancers are diagnosed early with good prognosis 58. Which of the following is considered a risk factor for development of cholecystitis? a. protein-rich diet b. high fiber diet c. Metabolic syndromed. Low fat diet 59. In planning care for the client with acute viral hepatitis B. The nurse should include a. ongoing assessment of mental status b. anticipation of administration of antivirus c. frequent administration of acetaminophen Tylenol for fever d. administration of a low protein High carbohydrate diet 60. A client presents with right upper quadrant pain,Jaundice and fever consistent with acute cholecystitis. The nurse is aware that additional signs consistent with this diagnosis would include a. negative boas sign b. positive Murphy sign c. negative rebound tenderness d. Tarry black stools 61. Which of the following statements indicates an understanding of liver disease? a. Laennec’s cirrhosis is associated with excessive alcohol intake and fatty deposit b. the most common form of cirrhosis is Post Acute viral hepatitis c. Steatorrhea is only associated with NAFLD (non-alcoholic fatty liver disease) d. management of nafld 62. Which of the following statements about liver function indicates a need for further teaching? a. the liver produces no substance that regulate blood clotting b. the liver has minor role in the production of proteins needed by the body c. the liver stores vitamins minerals and sugar d. the liver removes potential toxic byproducts of medications