MED SURG UNIT 2 EXAM 2 PRACTICE
QUESTIONS & DETAILED ANSWERS
1. Document the surgical site the bed.
inci-sion. -Sit client on side of bed prior
to standing
2. -Monitor client pain
using the appropriate
pain rating scale.
-Monitor cognitively
impaired clients at the
beginning of the shift
and frequently.
-Position the client
comfortably.
3. Removal of intravenous
(IV) pump from the
room
4. -Second-degree burn on
left hand
-Abdominal incision after
rup-tured gallbladder
-Reduction after an open
frac-ture
5. -Perform active and
passive range-of-motion
exercises.
-Slowly elevate the head of
1/
13
, MED SURG UNIT 2 EXAM 2 PRACTICE
QUESTIONS & DETAILED ANSWERS
The nurse is caring for a client in the post action by the UAP would warrant intervention by
anesthesia care unit after an abdominal the nurse?
surgery. Which nursing action is
appropriate? The nurse is reviewing the care of surgical wounds
with
The nurse is caring for a client with the nursing a coworker. Which wounds should the nurse
diagnosis of pain related to tissue damage from categorize as dirty? Select all that apply.
surgery. Which interven-tion by the nurse is
appropriate? Select all that apply.
The nurse is caring for a client with the nursing
diagnosis of impaired physical mobility related to
The nurse is assisting an unlicensed assistive surgery and decreased strength. Which nursing
personnel (UAP) in preparing a hospital room intervention is appropriate for this client? Select all
for the arrival of a post-operative client. Which that apply.
6. 600 mL The nurse is calculating the intake and output of a
client receiving nothing by mouth and receiving
intravenous fluids at 75 ml/hr for 8 hours and has
voided 250 mL. How many
2/
13
QUESTIONS & DETAILED ANSWERS
1. Document the surgical site the bed.
inci-sion. -Sit client on side of bed prior
to standing
2. -Monitor client pain
using the appropriate
pain rating scale.
-Monitor cognitively
impaired clients at the
beginning of the shift
and frequently.
-Position the client
comfortably.
3. Removal of intravenous
(IV) pump from the
room
4. -Second-degree burn on
left hand
-Abdominal incision after
rup-tured gallbladder
-Reduction after an open
frac-ture
5. -Perform active and
passive range-of-motion
exercises.
-Slowly elevate the head of
1/
13
, MED SURG UNIT 2 EXAM 2 PRACTICE
QUESTIONS & DETAILED ANSWERS
The nurse is caring for a client in the post action by the UAP would warrant intervention by
anesthesia care unit after an abdominal the nurse?
surgery. Which nursing action is
appropriate? The nurse is reviewing the care of surgical wounds
with
The nurse is caring for a client with the nursing a coworker. Which wounds should the nurse
diagnosis of pain related to tissue damage from categorize as dirty? Select all that apply.
surgery. Which interven-tion by the nurse is
appropriate? Select all that apply.
The nurse is caring for a client with the nursing
diagnosis of impaired physical mobility related to
The nurse is assisting an unlicensed assistive surgery and decreased strength. Which nursing
personnel (UAP) in preparing a hospital room intervention is appropriate for this client? Select all
for the arrival of a post-operative client. Which that apply.
6. 600 mL The nurse is calculating the intake and output of a
client receiving nothing by mouth and receiving
intravenous fluids at 75 ml/hr for 8 hours and has
voided 250 mL. How many
2/
13
