med surg EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution
ms




Med Surg 2 Exam 2 NCLEX Questions 2026 A+ GRADE A
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SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE ms ms ms ms ms




RS (28E8A) ms




QUESTION 1 ms




Which method is best to use when confirming initial placement of a blindly inserted s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



mall-bore NG feeding tube? ms ms ms



a. x-ray.
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b. air insufflation.
ms ms



c. observing patient for coughing.
ms ms ms ms



d. pH measurement of gastric aspirate.
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ANSWER

a. x-ray.
ms




QUESTION 2 ms




A patient is receiving peripheral parenteral nutrition. The parenteral nutrition solutio
ms ms ms ms ms ms ms ms ms ms



n is completed before the new solution arrives on the unit. The nurse gives
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a. 20% intralipids.
ms ms



b. 5% dextrose solution.
ms ms ms



c. 0.45% normal saline solution.
ms ms ms ms



d. 5% lactated Ringer's solution.
ms ms ms ms




ANSWER

b. 5% dextrose solution.
ms ms ms




QUESTION 3 ms




A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding,
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the nurse carefully assesses the patient for
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a. hyperkalemia.
ms



b. hypoglycemia.
ms

, c. hypercalcemia.
ms



d. hypophosphatemia.
ms




ANSWER

d. hypophosphatemia.
ms




QUESTION 4 ms




A patient was admitted with a fractured hip after being found on the floor of her hom
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



e. She was extremely malnourished and started on parenteral nutrition (PN) 3 days ag
ms ms ms ms ms ms ms ms ms ms ms ms ms



o. Which assessment finding would be of most concern to the nurse? Blood glucose lev
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el of 125 mg/dL Serum phosphate level of 1.9 mg/dL White blood cell count of 10,500
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



/µL Serum potassium level of 4.6 mEq/L
ms ms ms ms ms ms




ANSWER

Serum phosphate level of 1.9 mg/dL
ms ms ms ms ms




QUESTION 5 ms




A patient is admitted with anorexia nervosa and a serum potassium level of 2.4 mEq/
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



L. What complication is most important for the nurse to observe for in this patient? M
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



uscle weakness Cardiac dysrhythmias Increased urine output Anemia and leukopenia
ms ms ms ms ms ms ms ms ms




ANSWER

Cardiac dysrhythmias ms




QUESTION 6 ms




Which focused assessments would have priority in the care of a patient recently starte
ms ms ms ms ms ms ms ms ms ms ms ms ms



d on parenteral nutrition (PN)? Skin integrity and skin turgor Electrolyte levels and d
ms ms ms ms ms ms ms ms ms ms ms ms ms



aily weights Auscultation of lung and bowel sounds Peripheral edema and level of con
ms ms ms ms ms ms ms ms ms ms ms ms ms



sciousness
ANSWER

Electrolyte levels and daily weights ms ms ms ms




QUESTION 7 ms




A 35-year-
ms



old female patient is admitted to the emergency department with acute abdominal pai
ms ms ms ms ms ms ms ms ms ms ms ms



n. Which medical diagnoses should you consider as possible causes of her pain (select
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all that apply)?
s ms ms



a. Gastroenteritis
ms



b. Ectopic pregnancy
ms ms