Medsurg 2 Final Exam Test Questions with 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?
D. Dermis
A. Stratum corneum
B. Adipose layer
C. Epidermis
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
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like
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 exu-
A. Remove several crusts, and swab the underlying exu-
date.
date.
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
,Medsurg 2 Final Exam Test Questions with Answers Graded A+
crust from the center of the cluster of lesions, and send it
to the laboratory.
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?
B. Ensure that siderails are raised on his stretcher
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
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?
B. Assess and maintain the client's airway
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
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 ettective?
C. The client's temperature is 100 degrees F
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
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.
,Medsurg 2 Final Exam Test Questions with Answers Graded A+
A. Wear cotton clothing to help absorb moisture B. Layer clothing to keep heat near the body
B. Layer clothing to keep heat near the body C. Avoid skiing if it is snowing heavily
C. Avoid skiing if it is snowing heavily D. Be sure to wear gloves and a hat
D. Be sure to wear gloves and a hat E. Do not wear too many pairs of socks
E. Do not wear too many pairs of socks
A client experiences altitude-related illness after visiting a
ski resort in Colorado. What is the nurse's priority action
when the client is admitted to the emergency depart-
ment?
A. Provide supplemental oxygen
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube
The nurse is preparing to triage clients at the scene of
an airplane crash. Which of these clients will the nurse
identify as emergent?
A. Young woman with closed fractures of her right leg and
arm C. Middle-aged man with third-degree burns over 90% of
B. Older woman with abdominal bleeding who is dzed his body
and confused
C. Middle-aged man with third-degree burns over 90% of
his body
D. Young man with numerous bruises and superficial lac-
erations
A nurse needs to discharge two medical-surgical clients
to make room for two victims of a tornado. Which of these
clients could be discharged from the unit now? Select all
that apply.
, Medsurg 2 Final Exam Test Questions with Answers Graded A+
A. 78-year-old with telemetry monitoring for chest pain
last night
B. 57-year-old who had a bowel resection for cancer 2
B. 57-year-old who had a bowel resection for cancer 2
days ago
days ago
C. 44-year-old who has received 3 days of IV antibiotics for
C. 44-year-old who has received 3 days of IV antibiotics for
pneumonia
pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days ago
A female business woman has extremely dry skin on her
legs. In addition to using lotions after bathing, she asks
the nurse about other measures to help reduce the dry-
ness. What is the nurse's best response?
A. "Wear long-legged pajamas to sleep in rather than
nightgowns." B. "Avoid wearing pantyhose or nylon stockings for more
B. "Avoid wearing pantyhose or nylon stockings for more than 2 hours at a time."
than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when
bathing rather than rinsing it ott."
D. "Bathe in water that is as warm as you can stand to
stimulate the release of body oils from your sebaceous
glands."
The newly admitted client has all of the following labora-
tory test values. Which value suggests to the nurse that
the client may be at an increased risk for pressure ulcer
formation?
D. Serum prealbumin concentration of 15.2mg/dL
A. International normalized ratio (INR) of 1.5
B. White blood cell (WBC) count of 5200/mm3
C. Serum sodium concentrationof 134 mEq/L
D. Serum prealbumin concentration of 15.2mg/dL
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?
D. Dermis
A. Stratum corneum
B. Adipose layer
C. Epidermis
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
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like
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 exu-
A. Remove several crusts, and swab the underlying exu-
date.
date.
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
,Medsurg 2 Final Exam Test Questions with Answers Graded A+
crust from the center of the cluster of lesions, and send it
to the laboratory.
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?
B. Ensure that siderails are raised on his stretcher
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
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?
B. Assess and maintain the client's airway
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
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 ettective?
C. The client's temperature is 100 degrees F
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
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.
,Medsurg 2 Final Exam Test Questions with Answers Graded A+
A. Wear cotton clothing to help absorb moisture B. Layer clothing to keep heat near the body
B. Layer clothing to keep heat near the body C. Avoid skiing if it is snowing heavily
C. Avoid skiing if it is snowing heavily D. Be sure to wear gloves and a hat
D. Be sure to wear gloves and a hat E. Do not wear too many pairs of socks
E. Do not wear too many pairs of socks
A client experiences altitude-related illness after visiting a
ski resort in Colorado. What is the nurse's priority action
when the client is admitted to the emergency depart-
ment?
A. Provide supplemental oxygen
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube
The nurse is preparing to triage clients at the scene of
an airplane crash. Which of these clients will the nurse
identify as emergent?
A. Young woman with closed fractures of her right leg and
arm C. Middle-aged man with third-degree burns over 90% of
B. Older woman with abdominal bleeding who is dzed his body
and confused
C. Middle-aged man with third-degree burns over 90% of
his body
D. Young man with numerous bruises and superficial lac-
erations
A nurse needs to discharge two medical-surgical clients
to make room for two victims of a tornado. Which of these
clients could be discharged from the unit now? Select all
that apply.
, Medsurg 2 Final Exam Test Questions with Answers Graded A+
A. 78-year-old with telemetry monitoring for chest pain
last night
B. 57-year-old who had a bowel resection for cancer 2
B. 57-year-old who had a bowel resection for cancer 2
days ago
days ago
C. 44-year-old who has received 3 days of IV antibiotics for
C. 44-year-old who has received 3 days of IV antibiotics for
pneumonia
pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days ago
A female business woman has extremely dry skin on her
legs. In addition to using lotions after bathing, she asks
the nurse about other measures to help reduce the dry-
ness. What is the nurse's best response?
A. "Wear long-legged pajamas to sleep in rather than
nightgowns." B. "Avoid wearing pantyhose or nylon stockings for more
B. "Avoid wearing pantyhose or nylon stockings for more than 2 hours at a time."
than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when
bathing rather than rinsing it ott."
D. "Bathe in water that is as warm as you can stand to
stimulate the release of body oils from your sebaceous
glands."
The newly admitted client has all of the following labora-
tory test values. Which value suggests to the nurse that
the client may be at an increased risk for pressure ulcer
formation?
D. Serum prealbumin concentration of 15.2mg/dL
A. International normalized ratio (INR) of 1.5
B. White blood cell (WBC) count of 5200/mm3
C. Serum sodium concentrationof 134 mEq/L
D. Serum prealbumin concentration of 15.2mg/dL
