NUR 417 MED SURG FINAL EXAM 2025-2026
QUESTIONS AND ANSWERS GRADED A+
A patient with blunt abdominal trauma from a motor vehicle crash undergoes
peritoneal lavage. If the lavage returns brown fecal
drainage, which action will the nurse plan to take next?
Prepare the patient for surgery.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse appropriately
take?
Ask the patient to provide input for the plan of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a
stay in a rehabilitation facility. The home care nurse notes the spouse is performing
many of the activities that the patient had been managing unassisted during
rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation?
Develop a plan to increase the patient's independence in consultation with the
patient and the spouse.
,Which action should the nurse recognize has the highest priority for a patient who
was admitted 16 hours earlier with a C5 spinal
cord injury?
Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform?
Push upward on the epigastric area as the patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers.
The patient tells the nurse, "I have a pounding
headache and I feel sick to my stomach." Which action should the nurse take first?
Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be
sexually active. Which information should the nurse
include in an initial response?
Multiple options are available to maintain sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of
care for a patient who experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.)
, Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient
admitted to the emergency department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B,
C, D, E].)
a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about
the purpose of the ventriculostomy system being used for intracranial pressure
monitoring. Which response by the nurse is best for this situation?
"The monitoring system helps show whether blood flow to the brain is adequate."
Admission vital signs for a patient who has a brain injury are blood pressure of
128/68 mm Hg, pulse of 110 beats/min, and of
QUESTIONS AND ANSWERS GRADED A+
A patient with blunt abdominal trauma from a motor vehicle crash undergoes
peritoneal lavage. If the lavage returns brown fecal
drainage, which action will the nurse plan to take next?
Prepare the patient for surgery.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse appropriately
take?
Ask the patient to provide input for the plan of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a
stay in a rehabilitation facility. The home care nurse notes the spouse is performing
many of the activities that the patient had been managing unassisted during
rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation?
Develop a plan to increase the patient's independence in consultation with the
patient and the spouse.
,Which action should the nurse recognize has the highest priority for a patient who
was admitted 16 hours earlier with a C5 spinal
cord injury?
Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform?
Push upward on the epigastric area as the patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers.
The patient tells the nurse, "I have a pounding
headache and I feel sick to my stomach." Which action should the nurse take first?
Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be
sexually active. Which information should the nurse
include in an initial response?
Multiple options are available to maintain sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of
care for a patient who experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.)
, Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient
admitted to the emergency department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B,
C, D, E].)
a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about
the purpose of the ventriculostomy system being used for intracranial pressure
monitoring. Which response by the nurse is best for this situation?
"The monitoring system helps show whether blood flow to the brain is adequate."
Admission vital signs for a patient who has a brain injury are blood pressure of
128/68 mm Hg, pulse of 110 beats/min, and of
