NU185/NU185 FINAL EXAM: (NEW 2025/2026
UPDATE) MEDICAL-SURGICAL NURSING II
REVIEW | QUESTIONS & ANSWERS | GRADE A |
100% CORRECT (VERIFIED SOLUTIONS)
1. Which of the following constitutes a problem that affects data collected by
the nurse interviewing a chronically ill older adult patient? Many older
adults who are covered only by Medicare Parts A and B find it difficult to
pay the cost of: Prescription drugs while living at home
2. LVN/LPN that will be most successful dealing with change: The nurse who
sees change as an opportunity to improve conditions
3. Deductible: The yearly amount the insured person must spend out of
pocket for healthcare services before a health insurance policy will
begin to pay its share
4. Premium: A monthly fee a person must pay for health insurance
coverage
5. Copayment: The amount an insured person must pay at the time of an
office visit, when picking up a prescription, or before a hospital service
6. The nurse is caring for an older adult with chronic heart failure. Which
assessment finding is most indicative of worsening fluid overload? Jugular
vein distension and crackles in bilateral lung bases
7. A patient with diabetes mellitus type 2 presents with a blood glucose of 650
mg/dL, dry mucous membranes, and confusion. The nurse anticipates which
priority intervention? Intravenous fluid resuscitation and insulin drip
, 8. Which medication is first-line for an acute exacerbation of chronic
obstructive pulmonary disease (COPD)? Short-acting beta-agonist
(albuterol) via nebulizer
9. The nurse is teaching a patient with chronic kidney disease stage 4 about
dietary restrictions. Which food should the patient avoid? Bananas and
oranges (high potassium)
10.A post-operative day 2 patient reports sudden chest pain, shortness of breath,
and oxygen saturation of 88% on room air. The nurse suspects: Pulmonary
embolism
11.Which finding in a patient with a cast on the lower leg requires immediate
notification of the healthcare provider? Numbness and inability to wiggle
toes
12.The nurse is caring for a patient receiving opioids for cancer pain. Which
bowel regimen is most appropriate to prevent constipation? Stool softener
(docusate) plus stimulant laxative (senna) daily
13.A patient with liver cirrhosis develops asterixis and confusion. The nurse
recognizes these as signs of: Hepatic encephalopathy
14.Which laboratory value is most concerning in a patient receiving warfarin
therapy? International normalized ratio (INR) of 5.2
15.The nurse is providing discharge teaching to a patient after a myocardial
infarction. Which statement by the patient indicates correct
understanding? "I will take nitroglycerin if I have chest pain and call 911
if it doesn't go away after one dose."
UPDATE) MEDICAL-SURGICAL NURSING II
REVIEW | QUESTIONS & ANSWERS | GRADE A |
100% CORRECT (VERIFIED SOLUTIONS)
1. Which of the following constitutes a problem that affects data collected by
the nurse interviewing a chronically ill older adult patient? Many older
adults who are covered only by Medicare Parts A and B find it difficult to
pay the cost of: Prescription drugs while living at home
2. LVN/LPN that will be most successful dealing with change: The nurse who
sees change as an opportunity to improve conditions
3. Deductible: The yearly amount the insured person must spend out of
pocket for healthcare services before a health insurance policy will
begin to pay its share
4. Premium: A monthly fee a person must pay for health insurance
coverage
5. Copayment: The amount an insured person must pay at the time of an
office visit, when picking up a prescription, or before a hospital service
6. The nurse is caring for an older adult with chronic heart failure. Which
assessment finding is most indicative of worsening fluid overload? Jugular
vein distension and crackles in bilateral lung bases
7. A patient with diabetes mellitus type 2 presents with a blood glucose of 650
mg/dL, dry mucous membranes, and confusion. The nurse anticipates which
priority intervention? Intravenous fluid resuscitation and insulin drip
, 8. Which medication is first-line for an acute exacerbation of chronic
obstructive pulmonary disease (COPD)? Short-acting beta-agonist
(albuterol) via nebulizer
9. The nurse is teaching a patient with chronic kidney disease stage 4 about
dietary restrictions. Which food should the patient avoid? Bananas and
oranges (high potassium)
10.A post-operative day 2 patient reports sudden chest pain, shortness of breath,
and oxygen saturation of 88% on room air. The nurse suspects: Pulmonary
embolism
11.Which finding in a patient with a cast on the lower leg requires immediate
notification of the healthcare provider? Numbness and inability to wiggle
toes
12.The nurse is caring for a patient receiving opioids for cancer pain. Which
bowel regimen is most appropriate to prevent constipation? Stool softener
(docusate) plus stimulant laxative (senna) daily
13.A patient with liver cirrhosis develops asterixis and confusion. The nurse
recognizes these as signs of: Hepatic encephalopathy
14.Which laboratory value is most concerning in a patient receiving warfarin
therapy? International normalized ratio (INR) of 5.2
15.The nurse is providing discharge teaching to a patient after a myocardial
infarction. Which statement by the patient indicates correct
understanding? "I will take nitroglycerin if I have chest pain and call 911
if it doesn't go away after one dose."
