NSG 223 Herzing University Med Surg II
Exam 3 fully solved & updated 2026-
2027(latest version verified for accuracy)
(Questions + Answers) Solved 100%
Correct!!
The nurse is assessing a pt. with a cuffed
tracheostomy tube in place who is breathing
spontaneously. To evaluate if the pt. can tolerate cuff
deflation to promote swallowing and speaking, what
action should the nurse implement? - ✔✔ANSWER
✔✔-Observe for coughing colored sputum after
drinking a small amount of colored water
A pt. is admitted to the ED with a tension
pneumothorax. Which assessment should the nurse
expect to find? - ✔✔ANSWER ✔✔-Deviation of the
,trachea toward the opposite side of the
pneumothorax
Apt. with sickle cell anemia is admitted with severe
abd. pain and the diagnosis is sickle cell crisis. What
is the most important nursing action to implement? -
✔✔ANSWER ✔✔-Evaluate the pts. pain and
effectiveness of narcotic analgesics
A pt who is receiving a whole blood transfusion
develops chills, fever, and a headache thirty minutes
after the transfusion is started. The nurse should
recognize these symptoms as what reaction? -
✔✔ANSWER ✔✔-A febrile transfusion reaction
Several hours after surgical repair of an (AAA), the
client develops left flank pain. The nurse determines
the client's urinary output is 20 ml/hr for the past
two hours. The nurse should conclude that these
,findings are probably which complication? -
✔✔ANSWER ✔✔-renal artery (embolization)
The nurse directs an CNA to obtain the vital signs for
a client who returns to the unit after having a
mastectomy for cancer. What information should the
nurse provide the UAP? - ✔✔ANSWER ✔✔-Apply
the bp cuff to the arm on the uneffected side
Which pt is at highest risk for compromised
psychological adjustment after a hysterectomy? -
✔✔ANSWER ✔✔-A twenty-nine year-old woman
whose uterus ruptured after giving birth to her first
child.
A 48-year-old pt with endometrial cancer is being
discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which pt statement
indicates that further teaching is indicated? -
, ✔✔ANSWER ✔✔-The pt. states, "I know I will miss
having sexual intercourse with my husband."
A pt in the pre-op holding area receives a
prescription for Midazolam (Versed) IV. The nurse
determines that the consent form needs to be
signed by the pt. Which action should the nurse
implement? - ✔✔ANSWER ✔✔-Hold the drug until
the pt validates understanding of the procedure and
signs the consent form
While the nurse obtains a male pt's hx., review of
systems, and physical exam, the client tells the nurse
that his breast drains fluid from the nipple. The nurse
should seek further evaluation of which endocrine
gland function? - ✔✔ANSWER ✔✔-Anterior pituitary
and Hypothalamus
The nurse is preparing discharge instructions for a pt
who is going home with a wound (surgical) on the
Exam 3 fully solved & updated 2026-
2027(latest version verified for accuracy)
(Questions + Answers) Solved 100%
Correct!!
The nurse is assessing a pt. with a cuffed
tracheostomy tube in place who is breathing
spontaneously. To evaluate if the pt. can tolerate cuff
deflation to promote swallowing and speaking, what
action should the nurse implement? - ✔✔ANSWER
✔✔-Observe for coughing colored sputum after
drinking a small amount of colored water
A pt. is admitted to the ED with a tension
pneumothorax. Which assessment should the nurse
expect to find? - ✔✔ANSWER ✔✔-Deviation of the
,trachea toward the opposite side of the
pneumothorax
Apt. with sickle cell anemia is admitted with severe
abd. pain and the diagnosis is sickle cell crisis. What
is the most important nursing action to implement? -
✔✔ANSWER ✔✔-Evaluate the pts. pain and
effectiveness of narcotic analgesics
A pt who is receiving a whole blood transfusion
develops chills, fever, and a headache thirty minutes
after the transfusion is started. The nurse should
recognize these symptoms as what reaction? -
✔✔ANSWER ✔✔-A febrile transfusion reaction
Several hours after surgical repair of an (AAA), the
client develops left flank pain. The nurse determines
the client's urinary output is 20 ml/hr for the past
two hours. The nurse should conclude that these
,findings are probably which complication? -
✔✔ANSWER ✔✔-renal artery (embolization)
The nurse directs an CNA to obtain the vital signs for
a client who returns to the unit after having a
mastectomy for cancer. What information should the
nurse provide the UAP? - ✔✔ANSWER ✔✔-Apply
the bp cuff to the arm on the uneffected side
Which pt is at highest risk for compromised
psychological adjustment after a hysterectomy? -
✔✔ANSWER ✔✔-A twenty-nine year-old woman
whose uterus ruptured after giving birth to her first
child.
A 48-year-old pt with endometrial cancer is being
discharged after a total hysterectomy and bilateral
salpingo-oophorectomy. Which pt statement
indicates that further teaching is indicated? -
, ✔✔ANSWER ✔✔-The pt. states, "I know I will miss
having sexual intercourse with my husband."
A pt in the pre-op holding area receives a
prescription for Midazolam (Versed) IV. The nurse
determines that the consent form needs to be
signed by the pt. Which action should the nurse
implement? - ✔✔ANSWER ✔✔-Hold the drug until
the pt validates understanding of the procedure and
signs the consent form
While the nurse obtains a male pt's hx., review of
systems, and physical exam, the client tells the nurse
that his breast drains fluid from the nipple. The nurse
should seek further evaluation of which endocrine
gland function? - ✔✔ANSWER ✔✔-Anterior pituitary
and Hypothalamus
The nurse is preparing discharge instructions for a pt
who is going home with a wound (surgical) on the
