1 | Page
HERZING UNIVERSITY NSG 223 MED SURG II
FINAL EXAM NEWEST 2026 2027 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS VERIFIED ANSWERS BRAND NEW
VERSION HIGH YIELD STUDY GUIDE ACTUAL
UPDATED PRACTICE QUESTIONS FINAL EXAM
PREPARATION GRADED A+ SUCCESS REVIEW
The nurse is completing a preoperative assessment on a male client who states,
"I am allergic to codeine." Which intervention should the nurse implement first?
1. Apply an allergy bracelet on the client's wrist.
2. Label the client's allergies on the front of the chart.
3. Ask the client what happens when he takes the codeine.
4. Document the allergy on the medication administration record -
CORRECT ANSWER=3.The nurse should first assess theevents which
occurred when the clienttook this medication because manyclients think a side
effect, such as nausea, is an allergic reaction.
Which laboratory result would require immediate intervention by the nurse for
the client scheduled for surgery?
1. Calcium 9.2 mg/dL.
2. Bleeding time 2 minutes.
3. Hemoglobin 15 g/dL.
,2 | Page
4. Potassium 2.4 mEq/L. - CORRECT ANSWER=4.This potassium level is
low and shouldbe reported to the health-care providerbecause potassium is
important formuscle function, including the cardiacmuscle.
Which activities are the circulating nurse's responsibilities in the operating room?
1. Monitor the position of the client, prepare the surgical site, and ensure the
client's safety.
2. Give preoperative medication in the holding area and monitor the client's
response to anesthesia.
3. Prepare sutures; set up the sterile field; and count all needles, sponges,
and instruments.
4. Prepare the medications to be administered by the anesthesiologist and
change the tubing for the anesthesia machine. - CORRECT
ANSWER=1.The circulating nurse has many responsibilities in the OR,
including coordinating the activities in the OR;keeping the OR clean; ensuring
thesafety of the client; and maintainingthe humidity, lighting, and safety of the
equipment
The circulating nurse observes the surgical scrub technician remove a sponge
from the edge of the sterile field with a clamp and place the sponge and clamp in
a designated area. Which action should the nurse implement?
1. Place the sponge back where it was.
2. Tell the technician not to waste supplies.
3. Do nothing because this is the correct procedure.
,3 | Page
4. Take the sponge out of the room immediately. - CORRECT
ANSWER=3.The technician followed the correctprocedure. Sponges are
counted tomaintain client safety, so all spongesmust be kept together to
repeat thecount before the incision site is su-tured. The sponge must be
removed,not used, and placed in a designatedarea to be counted later
The circulating nurse and the scrub technician find a discrepancy in the sponge
count. Which action should the circulating nurse take first?
1. Notify the client's surgeon.
2. Complete an occurrence report.
3. Contact the surgical manager.
4. Re-count all sponges. - CORRECT ANSWER=4.A re-count of sponges
may lead to thediscovery of the cause of the presumederror. Usually it is just
a miscount or aresult of a sponge being placed in a location other than the
sterile field,such as the floor or a lower shelf
The nurse is assigned to care for a child with spina bifida that requires routine
urinary catheterization. What priority action by the nurse is important to prevent
complications caused by an IgE-mediated reaction?
a. Use non-latex gloves for all procedures.
b. Administer epinephrine prior to performing the procedure.
c. Administer Benadryl every 4 hours to prevent an allergic reaction.
, 4 | Page
d. Ensure that the child does not receive antibiotics. - CORRECT
ANSWER=Answer: a
Cognitive Level: Apply
Explanation: A child with spina bifida (a congenital defect in the spinal column) is
at increased risk for latex allergies because the mucous membranes of the
bladder and rectum are exposed to latex during frequent examinations and
procedures, such as urinary catheterization. It is suggested that non-latex gloves
and other materials be used as much as is possible for all children, particularly
those with this disorder.
An older adult client has a decrease in the number of T cells and B cells. What
nursing action is a high priority for this patient?
a. Monitor for signs of infection.
b. Give warm blankets and keep the room warm.
c. Encourage the patient to eat 6 small meals a day.
d. Obtain strict intake and output. - CORRECT ANSWER=Answer: a
Cognitive Level: Apply
Explanation: One of the effects of aging on the immune system is the decrease
in the T cell and B-cell count which will increase the client's risk of infection. The
client should be closely monitored for the development of signs of infection.
Warm blankets and a warm room will assist with the age related change of
decreased basal body temperature but is not the priority action in this scenario.
Eating small frequent meals and obtaining strict intake and output will not
address the decrease in T and B cells and the associated risk for infection.
HERZING UNIVERSITY NSG 223 MED SURG II
FINAL EXAM NEWEST 2026 2027 COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS VERIFIED ANSWERS BRAND NEW
VERSION HIGH YIELD STUDY GUIDE ACTUAL
UPDATED PRACTICE QUESTIONS FINAL EXAM
PREPARATION GRADED A+ SUCCESS REVIEW
The nurse is completing a preoperative assessment on a male client who states,
"I am allergic to codeine." Which intervention should the nurse implement first?
1. Apply an allergy bracelet on the client's wrist.
2. Label the client's allergies on the front of the chart.
3. Ask the client what happens when he takes the codeine.
4. Document the allergy on the medication administration record -
CORRECT ANSWER=3.The nurse should first assess theevents which
occurred when the clienttook this medication because manyclients think a side
effect, such as nausea, is an allergic reaction.
Which laboratory result would require immediate intervention by the nurse for
the client scheduled for surgery?
1. Calcium 9.2 mg/dL.
2. Bleeding time 2 minutes.
3. Hemoglobin 15 g/dL.
,2 | Page
4. Potassium 2.4 mEq/L. - CORRECT ANSWER=4.This potassium level is
low and shouldbe reported to the health-care providerbecause potassium is
important formuscle function, including the cardiacmuscle.
Which activities are the circulating nurse's responsibilities in the operating room?
1. Monitor the position of the client, prepare the surgical site, and ensure the
client's safety.
2. Give preoperative medication in the holding area and monitor the client's
response to anesthesia.
3. Prepare sutures; set up the sterile field; and count all needles, sponges,
and instruments.
4. Prepare the medications to be administered by the anesthesiologist and
change the tubing for the anesthesia machine. - CORRECT
ANSWER=1.The circulating nurse has many responsibilities in the OR,
including coordinating the activities in the OR;keeping the OR clean; ensuring
thesafety of the client; and maintainingthe humidity, lighting, and safety of the
equipment
The circulating nurse observes the surgical scrub technician remove a sponge
from the edge of the sterile field with a clamp and place the sponge and clamp in
a designated area. Which action should the nurse implement?
1. Place the sponge back where it was.
2. Tell the technician not to waste supplies.
3. Do nothing because this is the correct procedure.
,3 | Page
4. Take the sponge out of the room immediately. - CORRECT
ANSWER=3.The technician followed the correctprocedure. Sponges are
counted tomaintain client safety, so all spongesmust be kept together to
repeat thecount before the incision site is su-tured. The sponge must be
removed,not used, and placed in a designatedarea to be counted later
The circulating nurse and the scrub technician find a discrepancy in the sponge
count. Which action should the circulating nurse take first?
1. Notify the client's surgeon.
2. Complete an occurrence report.
3. Contact the surgical manager.
4. Re-count all sponges. - CORRECT ANSWER=4.A re-count of sponges
may lead to thediscovery of the cause of the presumederror. Usually it is just
a miscount or aresult of a sponge being placed in a location other than the
sterile field,such as the floor or a lower shelf
The nurse is assigned to care for a child with spina bifida that requires routine
urinary catheterization. What priority action by the nurse is important to prevent
complications caused by an IgE-mediated reaction?
a. Use non-latex gloves for all procedures.
b. Administer epinephrine prior to performing the procedure.
c. Administer Benadryl every 4 hours to prevent an allergic reaction.
, 4 | Page
d. Ensure that the child does not receive antibiotics. - CORRECT
ANSWER=Answer: a
Cognitive Level: Apply
Explanation: A child with spina bifida (a congenital defect in the spinal column) is
at increased risk for latex allergies because the mucous membranes of the
bladder and rectum are exposed to latex during frequent examinations and
procedures, such as urinary catheterization. It is suggested that non-latex gloves
and other materials be used as much as is possible for all children, particularly
those with this disorder.
An older adult client has a decrease in the number of T cells and B cells. What
nursing action is a high priority for this patient?
a. Monitor for signs of infection.
b. Give warm blankets and keep the room warm.
c. Encourage the patient to eat 6 small meals a day.
d. Obtain strict intake and output. - CORRECT ANSWER=Answer: a
Cognitive Level: Apply
Explanation: One of the effects of aging on the immune system is the decrease
in the T cell and B-cell count which will increase the client's risk of infection. The
client should be closely monitored for the development of signs of infection.
Warm blankets and a warm room will assist with the age related change of
decreased basal body temperature but is not the priority action in this scenario.
Eating small frequent meals and obtaining strict intake and output will not
address the decrease in T and B cells and the associated risk for infection.
