NSG 3800: MedSurge 2 Exam 1 PREP
NSG 3800: MEDSURGE 2 EXAM 1 PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is performing an admission assessment on a 79-year-old client newly
admitted for end-stage liver disease. What principle should guide the nurse's
assessment of the client's skin turgor?
A. Overhydration is common among healthy older adults.
B. Dehydration causes the skin to appear spongy.
C. Inelastic skin turgor is a normal part of aging.
D. Skin turgor cannot be assessed in clients over the age of 70. - Correct Answer-C.
Inelastic skin turgor is a normal part of aging.
A client with hypokalemia is to receive intravenous (IV) potassium replacement.
Which action should the nurse take when administering potassium intravenously?
Select all that apply.
A. Administer potassium by IV push.
B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium
administration.
C. Monitor complete blood count during potassium infusion.
D. Follow the facility policy for infusion of potassium.
1|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
E. Report a reduced urinary output to the health care provider. - Correct Answer-
B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium
administration.
D. Follow the facility policy for infusion of potassium.
E. Report a reduced urinary output to the health care provider.
A nurse in the neurologic ICU has received a prescription to infuse a hypertonic
solution into a client with increased intracranial pressure. This solution will
increase the number of dissolved particles in the client's blood, creating pressure
for fluids in the tissues to shift into the capillaries and increase the blood volume.
This process is best described with which of the following terms?
A. Hydrostatic pressure
B. Osmosis and osmolality
C. Diffusion
D. Active transport - Correct Answer-B) Osmosis and osmolality
The surgical nurse is caring for a client who is postoperative day 1 following a
thyroidectomy. The client reports tingling in the lips and fingers. The client also
reports an intermittent spasm in the wrist and hand and exhibits increased muscle
tone. Which electrolyte imbalance should the nurse first suspect?
A. Hypophosphatemia
B. Hypocalcemia
C. Hypermagnesemia
D. Hyperkalemia - Correct Answer-B. Hypocalcemia
2|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
A nurse, who is orienting a newly licensed nurse, is planning care for a nephrology
client. The nurse states, "A client with kidney disease partially loses the ability to
regulate changes in pH." What is the cause of this partial inability?
A. The kidneys regulate and reabsorb carbonic acid to change and maintain pH. B.
The kidneys buffer acids through electrolyte changes.
C. The kidneys reabsorb and regenerate bicarbonate to maintain a stable pH. D.
The kidneys combine carbonic acid and bicarbonate to maintain a stable pH. -
Correct Answer-C. The kidneys reabsorb and regenerate bicarbonate to maintain a
stable pH.
The nurse is caring for a client admitted to the medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube was placed upon admission, and since that
time the client has been on low intermittent suction. Upon review of the
morning's blood work, the nurse notices that the client's potassium is below
reference range. The nurse should assess for signs and symptoms of what
imbalance?
A. Hypercalcemia
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory acidosis - Correct Answer-C. Metabolic alkalosis
The nurse is caring for a client who has a peripheral IV in place for fluid
replacement. When caring for the client's IV site, the nurse should:
A. ensure that anticoagulants are placed on hold for the duration of IV therapy.
3|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
B. replace the IV dressing with a new, clean dressing if it is soiled.
C. ensure that the tubing is firmly anchored to the client's skin.
D. periodically remove hair from 2 cm around the IV site. - Correct Answer-C.
ensure that the tubing is firmly anchored to the client's skin.
A client who is being treated for pneumonia reports sudden shortness of breath.
An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21,
PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Metabolic acidosis - Correct Answer-A. Respiratory acidosis
One day after a client is admitted to the medical unit, the nurse determines that
the client is oliguric. The nurse notifies the acute-care nurse practitioner who
prescribes a fluid challenge of 200 mL of normal saline solution over 15 minutes.
This intervention will help to achieve what goal?
A. Distinguish hyponatremia from hypernatremia.
B. Evaluate pituitary gland function.
C. Distinguish reduced renal blood flow from decreased renal function.
D. Provide an effective treatment for hypertension-induced oliguria. - Correct
Answer-C. Distinguish reduced renal blood flow from decreased renal function.
4|Page
NSG 3800: MEDSURGE 2 EXAM 1 PREP NEWEST 2026/2027
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is performing an admission assessment on a 79-year-old client newly
admitted for end-stage liver disease. What principle should guide the nurse's
assessment of the client's skin turgor?
A. Overhydration is common among healthy older adults.
B. Dehydration causes the skin to appear spongy.
C. Inelastic skin turgor is a normal part of aging.
D. Skin turgor cannot be assessed in clients over the age of 70. - Correct Answer-C.
Inelastic skin turgor is a normal part of aging.
A client with hypokalemia is to receive intravenous (IV) potassium replacement.
Which action should the nurse take when administering potassium intravenously?
Select all that apply.
A. Administer potassium by IV push.
B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium
administration.
C. Monitor complete blood count during potassium infusion.
D. Follow the facility policy for infusion of potassium.
1|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
E. Report a reduced urinary output to the health care provider. - Correct Answer-
B. Assess blood urea nitrogen (BUN) and serum creatinine prior to potassium
administration.
D. Follow the facility policy for infusion of potassium.
E. Report a reduced urinary output to the health care provider.
A nurse in the neurologic ICU has received a prescription to infuse a hypertonic
solution into a client with increased intracranial pressure. This solution will
increase the number of dissolved particles in the client's blood, creating pressure
for fluids in the tissues to shift into the capillaries and increase the blood volume.
This process is best described with which of the following terms?
A. Hydrostatic pressure
B. Osmosis and osmolality
C. Diffusion
D. Active transport - Correct Answer-B) Osmosis and osmolality
The surgical nurse is caring for a client who is postoperative day 1 following a
thyroidectomy. The client reports tingling in the lips and fingers. The client also
reports an intermittent spasm in the wrist and hand and exhibits increased muscle
tone. Which electrolyte imbalance should the nurse first suspect?
A. Hypophosphatemia
B. Hypocalcemia
C. Hypermagnesemia
D. Hyperkalemia - Correct Answer-B. Hypocalcemia
2|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
A nurse, who is orienting a newly licensed nurse, is planning care for a nephrology
client. The nurse states, "A client with kidney disease partially loses the ability to
regulate changes in pH." What is the cause of this partial inability?
A. The kidneys regulate and reabsorb carbonic acid to change and maintain pH. B.
The kidneys buffer acids through electrolyte changes.
C. The kidneys reabsorb and regenerate bicarbonate to maintain a stable pH. D.
The kidneys combine carbonic acid and bicarbonate to maintain a stable pH. -
Correct Answer-C. The kidneys reabsorb and regenerate bicarbonate to maintain a
stable pH.
The nurse is caring for a client admitted to the medical unit 72 hours ago with
pyloric stenosis. A nasogastric tube was placed upon admission, and since that
time the client has been on low intermittent suction. Upon review of the
morning's blood work, the nurse notices that the client's potassium is below
reference range. The nurse should assess for signs and symptoms of what
imbalance?
A. Hypercalcemia
B. Metabolic acidosis
C. Metabolic alkalosis
D. Respiratory acidosis - Correct Answer-C. Metabolic alkalosis
The nurse is caring for a client who has a peripheral IV in place for fluid
replacement. When caring for the client's IV site, the nurse should:
A. ensure that anticoagulants are placed on hold for the duration of IV therapy.
3|Page
, NSG 3800: MedSurge 2 Exam 1 PREP
B. replace the IV dressing with a new, clean dressing if it is soiled.
C. ensure that the tubing is firmly anchored to the client's skin.
D. periodically remove hair from 2 cm around the IV site. - Correct Answer-C.
ensure that the tubing is firmly anchored to the client's skin.
A client who is being treated for pneumonia reports sudden shortness of breath.
An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21,
PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Respiratory alkalosis
D. Metabolic acidosis - Correct Answer-A. Respiratory acidosis
One day after a client is admitted to the medical unit, the nurse determines that
the client is oliguric. The nurse notifies the acute-care nurse practitioner who
prescribes a fluid challenge of 200 mL of normal saline solution over 15 minutes.
This intervention will help to achieve what goal?
A. Distinguish hyponatremia from hypernatremia.
B. Evaluate pituitary gland function.
C. Distinguish reduced renal blood flow from decreased renal function.
D. Provide an effective treatment for hypertension-induced oliguria. - Correct
Answer-C. Distinguish reduced renal blood flow from decreased renal function.
4|Page
