Med Surg 2 Final Exam
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
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1. The client reports that a previously sensitive area of skin no longer responds to
temperature changes or painful stimuli. This finding indicates a functional abnormality
for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis - Correct Answer: D. Dermis
2. During skin inspection the nurse observes three lesions on the client's right knee. The
lesions are round, have a raised border, and are grouped in a "smiley face" pattern.
Which descriptors does the nurse use to document these observations?
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like - Correct Answer: A. Annular, circinate,
clustered
3. Which technique for obtaining a specimen for bacterial culture is most correct for the
nurse to use with a client who has crusted skin lesions on the upper back?
, A. Remove several crusts, and swab the underlying exudate.
B. Dampen the culture swab with sterile water, and then roll the swab over the
central crusts.
C. Apply a gauze bandage to the area, remove it after 1 hour, and send the entire
gauze to the laboratory.
D. Clean the area with an antibacterial solution, remove a crust from the center of
the cluster of lesions, and send it to the laboratory. - Correct Answer: A.
Remove several crusts, and swab the underlying exudate.
4. An 88-year-old man is admitted to the ED from home with weakness and acute
confusion. What is the nurse's priority for his care to maintain client safety?
A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking - Correct Answer: B. Ensure that
siderails are raised on his stretcher
5. A client is admitted to the ED with multiple stab wounds to his chest, abdomen and
arms. What is the nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness - Correct Answer: B. Assess and maintain
the client's airway
6. An older client with heat stroke is being cooled with a cooling blanket and ice packs
under her arms and behind her neck. What assessment indicates to the nurse that the
cooling process is effective?
A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr - Correct Answer: C. The client's
temperature is 100 degrees F
,7. An older client is preparing for a trip to a cold-weather area and asks the nurse how he
can prevent hypothermia while visiting there. Which preventative actions will the nurse
include in the health teaching? Select all that apply.
A. Wear cotton clothing to help absorb moisture
B. Layer clothing to keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks - Correct Answer: B. Layer clothing to
keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks
8. A client experiences altitude-related illness after visiting a ski resort in Colorado. What is
the nurse's priority action when the client is admitted to the emergency department?
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube - Correct Answer: A. Provide supplemental oxygen
9. The nurse is preparing to triage clients at the scene of an airplane crash. Which of these
clients will the nurse identify as emergent?
A. Young woman with closed fractures of her right leg and arm
B. Older woman with abdominal bleeding who is dzed and confused
C. Middle-aged man with third-degree burns over 90% of his body
D. Young man with numerous bruises and superficial lacerations - Correct
Answer: C. Middle-aged man with third-degree burns over 90% of his body
10. A nurse needs to discharge two medical-surgical clients to make room for two victims of
a tornado. Which of these clients could be discharged from the unit now? Select all that
apply.
, A. 78-year-old with telemetry monitoring for chest pain last night
B. 57-year-old who had a bowel resection for cancer 2 days ago
C. 44-year-old who has received 3 days of IV antibiotics for pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days ago - Correct Answer: B.
57-year-old who had a bowel resection for cancer 2 days ago
C. 44-year-old who has received 3 days of IV antibiotics for pneumonia
11. A female business woman has extremely dry skin on her legs. In addition to using lotions
after bathing, she asks the nurse about other measures to help reduce the dryness.
What is the nurse's best response?
A. "Wear long-legged pajamas to sleep in rather than nightgowns."
B. "Avoid wearing pantyhose or nylon stockings for more than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when bathing rather than rinsing it
off."
D. "Bathe in water that is as warm as you can stand to stimulate the release of body
oils from your sebaceous glands." - Correct Answer: B. "Avoid wearing
pantyhose or nylon stockings for more than 2 hours at a time."
12. The newly admitted client has all of the following laboratory test values. Which value
suggests to the nurse that the client may be at an increased risk for pressure ulcer
formation?
A. International normalized ratio (INR) of 1.5
B. White blood cell (WBC) count of 5200/mm3
C. Serum sodium concentrationof 134 mEq/L
D. Serum prealbumin concentration of 15.2mg/dL - Correct Answer: D. Serum
prealbumin concentration of 15.2mg/dL
13. Which intervention does the nurse use to promote "take" of a graft placed on the client's
right heel?
A. Elevate the client's right foot by placing pillows under the leg from the knees to
the ankles
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf
1. The client reports that a previously sensitive area of skin no longer responds to
temperature changes or painful stimuli. This finding indicates a functional abnormality
for which skin layer?
A. Stratum corneum
B. Adipose layer
C. Epidermis
D. Dermis - Correct Answer: D. Dermis
2. During skin inspection the nurse observes three lesions on the client's right knee. The
lesions are round, have a raised border, and are grouped in a "smiley face" pattern.
Which descriptors does the nurse use to document these observations?
A. Annular, circinate, clustered
B. Linear, confluent, vesicular
C. Circumscribed, universal, pustular
D. Serpiginous, coalesced, wheal-like - Correct Answer: A. Annular, circinate,
clustered
3. Which technique for obtaining a specimen for bacterial culture is most correct for the
nurse to use with a client who has crusted skin lesions on the upper back?
, A. Remove several crusts, and swab the underlying exudate.
B. Dampen the culture swab with sterile water, and then roll the swab over the
central crusts.
C. Apply a gauze bandage to the area, remove it after 1 hour, and send the entire
gauze to the laboratory.
D. Clean the area with an antibacterial solution, remove a crust from the center of
the cluster of lesions, and send it to the laboratory. - Correct Answer: A.
Remove several crusts, and swab the underlying exudate.
4. An 88-year-old man is admitted to the ED from home with weakness and acute
confusion. What is the nurse's priority for his care to maintain client safety?
A. Assess his mental status every 30minutes
B. Ensure that siderails are raised on his stretcher
C. Check his bowel sounds for intestinal obstruction
D. Teach him to move slowly when walking - Correct Answer: B. Ensure that
siderails are raised on his stretcher
5. A client is admitted to the ED with multiple stab wounds to his chest, abdomen and
arms. What is the nurse's priority upon admission to the ED?
A. Check for bleeding from the stab wounds
B. Assess and maintain the client's airway
C. Start 2 large-bore IV lines
D. Assess the level of consciousness - Correct Answer: B. Assess and maintain
the client's airway
6. An older client with heat stroke is being cooled with a cooling blanket and ice packs
under her arms and behind her neck. What assessment indicates to the nurse that the
cooling process is effective?
A. The client is alert and oriented
B. The client states that she feels cooler
C. The client's temperature is 100 degrees F
D. The client's urinary output is 30 mL/hr - Correct Answer: C. The client's
temperature is 100 degrees F
,7. An older client is preparing for a trip to a cold-weather area and asks the nurse how he
can prevent hypothermia while visiting there. Which preventative actions will the nurse
include in the health teaching? Select all that apply.
A. Wear cotton clothing to help absorb moisture
B. Layer clothing to keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks - Correct Answer: B. Layer clothing to
keep heat near the body
C. Avoid skiing if it is snowing heavily
D. Be sure to wear gloves and a hat
E. Do not wear too many pairs of socks
8. A client experiences altitude-related illness after visiting a ski resort in Colorado. What is
the nurse's priority action when the client is admitted to the emergency department?
A. Provide supplemental oxygen
B. Place the client on a ventilator
C. Perform an electrocardiogram
D. Insert a nasogastric tube - Correct Answer: A. Provide supplemental oxygen
9. The nurse is preparing to triage clients at the scene of an airplane crash. Which of these
clients will the nurse identify as emergent?
A. Young woman with closed fractures of her right leg and arm
B. Older woman with abdominal bleeding who is dzed and confused
C. Middle-aged man with third-degree burns over 90% of his body
D. Young man with numerous bruises and superficial lacerations - Correct
Answer: C. Middle-aged man with third-degree burns over 90% of his body
10. A nurse needs to discharge two medical-surgical clients to make room for two victims of
a tornado. Which of these clients could be discharged from the unit now? Select all that
apply.
, A. 78-year-old with telemetry monitoring for chest pain last night
B. 57-year-old who had a bowel resection for cancer 2 days ago
C. 44-year-old who has received 3 days of IV antibiotics for pneumonia
D. 61-year-old who had a thyroidectomy this morning
E. 72-year-old who had a total hip replacement 2 days ago - Correct Answer: B.
57-year-old who had a bowel resection for cancer 2 days ago
C. 44-year-old who has received 3 days of IV antibiotics for pneumonia
11. A female business woman has extremely dry skin on her legs. In addition to using lotions
after bathing, she asks the nurse about other measures to help reduce the dryness.
What is the nurse's best response?
A. "Wear long-legged pajamas to sleep in rather than nightgowns."
B. "Avoid wearing pantyhose or nylon stockings for more than 2 hours at a time."
C. "Leave the fat-containing soap on your skin when bathing rather than rinsing it
off."
D. "Bathe in water that is as warm as you can stand to stimulate the release of body
oils from your sebaceous glands." - Correct Answer: B. "Avoid wearing
pantyhose or nylon stockings for more than 2 hours at a time."
12. The newly admitted client has all of the following laboratory test values. Which value
suggests to the nurse that the client may be at an increased risk for pressure ulcer
formation?
A. International normalized ratio (INR) of 1.5
B. White blood cell (WBC) count of 5200/mm3
C. Serum sodium concentrationof 134 mEq/L
D. Serum prealbumin concentration of 15.2mg/dL - Correct Answer: D. Serum
prealbumin concentration of 15.2mg/dL
13. Which intervention does the nurse use to promote "take" of a graft placed on the client's
right heel?
A. Elevate the client's right foot by placing pillows under the leg from the knees to
the ankles
