Med Surg 2 Test Bank Final Exam
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!!
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1. A client has been diagnosed with AIDS and tuberculosis (TB). A nursing
student asks the nurse why the client's skin test for TB is negative if the
client's physician has diagnosed TB. The nurse's correct reply is which of the
following?
a) The client has only mild TB, which is not enough to cause a reaction.
b) The solution used for the skin test was probably outdated.
c) The client's immune system cannot mount a response to the skin
test.
d) The skin test was improperly performed. - Correct Answer: c) The
client's immune system cannot mount a response to the skin test.
2. A patient is suspected of having rheumatoid arthritis and her diagnostic
regimen includes aspiration of synovial fluid from the knee for a definitive
diagnosis. The nurse knows that which of the following procedures will be
involved?
A) Angiography
B) Myelography
C) Paracentesis
D) Arthocentesis - Correct Answer: D) Arthocentesis
,3. A nurse is performing the initial assessment of a patient who has a recent
diagnosis of systemic lupus erythematosus (SLE). What skin manifestation
would the nurse expect to observe on inspection?
A) Petechiae
B) Butterfly rash
C) Jaundice
D) Skin sloughing - Correct Answer: B) Butterfly rash
4. A patients decreased mobility is ultimately the result of an autoimmune
reaction originating in the synovial tissue, which caused the formation of
pannus. This patient has been diagnosed with what health problem?
A) Rheumatoid arthritis (RA)
B) Systemic lupus erythematosus
C) Osteoporosis
D) Polymyositis - Correct Answer: A) Rheumatoid arthritis
(RA)
5. A nurse is performing the health history and physical assessment of a
patient who has a diagnosis of rheumatoid arthritis (RA). What assessment
finding is most consistent with the clinical presentation of RA?
A) Cool joints with decreased range of motion
B) Signs of systemic infection
C) Joint stiffness, especially in the morning
D) Visible atrophy of the knee and shoulder joints - Correct
Answer: C) Joint stiffness, especially in the morning
6. A nurse is assessing a patient for risk factors known to contribute to
osteoarthritis. What assessment finding would the nurse interpret as a risk
factor?
A) The patient has a 30 pack-year smoking history.
, B) The patients body mass index is 34 (obese).
C) The patient has primary hypertension.
D) The patient is 58 years old. - Correct Answer: B) The
patients body mass index is 34 (obese).
7. A patient with systemic lupus erythematosus (SLE) is preparing for
discharge. The nurse knows that the patient has understood health
education when the patient makes what statement?
A) Ill make sure I get enough exposure to sunlight to keep up my
vitamin D levels.
B) Ill try to be as physically active as possible between flare-ups.
C) Ill make sure to monitor my body temperature on a regular
basis.
D) Ill stop taking my steroids when I get relief from my
symptoms. - Correct Answer: C) Ill make sure to monitor
my body temperature on a regular basis.
8. A patient who has been newly diagnosed with systemic lupus
erythematosus (SLE) has been admitted to the medical unit. Which of the
following nursing diagnoses is the most plausible inclusion in the plan of
care?
A) Fatigue Related to Anemia
B) Risk for Ineffective Tissue Perfusion Related to Venous
Thromboembolism
C) Acute Confusion Related to Increased Serum Ammonia Levels
D) Risk for Ineffective Tissue Perfusion Related to Increased
Hematocrit - Correct Answer: A) Fatigue Related to
Anemia
, 9. A community health nurse is performing a visit to the home of a patient
who has a history of rheumatoid arthritis (RA). On what aspect of the
patients health should the nurse focus most closely during the visit?
A) The patients understanding of rheumatoid arthritis
B) The patients risk for cardiopulmonary complications
C) The patients social support system
D) The patients functional status - Correct Answer: D) The
patients functional status
10.A nurses plan of care for a patient with rheumatoid arthritis includes several
exercise-based interventions. Exercises for patients with rheumatoid
disorders should have which of the following goals?
A) Maximize range of motion while minimizing exertion
B) Increase joint size and strength
C) Limit energy output in order to preserve strength for healing
D) Preserve and increase range of motion while limiting joint
stress - Correct Answer: D) Preserve and increase range of
motion while limiting joint stress
11.A nurse is providing care for a patient who has a rheumatic disorder. The
nurses comprehensive assessment includes the patients mood, behavior,
LOC, and neurologic status. What is this patients most likely diagnosis?
A) Osteoarthritis (OA)
B) Systemic lupus erythematosus (SLE)
C) Rheumatoid arthritis (RA)
D) Gout - Correct Answer: B) Systemic lupus erythematosus
(SLE)
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. A client has been diagnosed with AIDS and tuberculosis (TB). A nursing
student asks the nurse why the client's skin test for TB is negative if the
client's physician has diagnosed TB. The nurse's correct reply is which of the
following?
a) The client has only mild TB, which is not enough to cause a reaction.
b) The solution used for the skin test was probably outdated.
c) The client's immune system cannot mount a response to the skin
test.
d) The skin test was improperly performed. - Correct Answer: c) The
client's immune system cannot mount a response to the skin test.
2. A patient is suspected of having rheumatoid arthritis and her diagnostic
regimen includes aspiration of synovial fluid from the knee for a definitive
diagnosis. The nurse knows that which of the following procedures will be
involved?
A) Angiography
B) Myelography
C) Paracentesis
D) Arthocentesis - Correct Answer: D) Arthocentesis
,3. A nurse is performing the initial assessment of a patient who has a recent
diagnosis of systemic lupus erythematosus (SLE). What skin manifestation
would the nurse expect to observe on inspection?
A) Petechiae
B) Butterfly rash
C) Jaundice
D) Skin sloughing - Correct Answer: B) Butterfly rash
4. A patients decreased mobility is ultimately the result of an autoimmune
reaction originating in the synovial tissue, which caused the formation of
pannus. This patient has been diagnosed with what health problem?
A) Rheumatoid arthritis (RA)
B) Systemic lupus erythematosus
C) Osteoporosis
D) Polymyositis - Correct Answer: A) Rheumatoid arthritis
(RA)
5. A nurse is performing the health history and physical assessment of a
patient who has a diagnosis of rheumatoid arthritis (RA). What assessment
finding is most consistent with the clinical presentation of RA?
A) Cool joints with decreased range of motion
B) Signs of systemic infection
C) Joint stiffness, especially in the morning
D) Visible atrophy of the knee and shoulder joints - Correct
Answer: C) Joint stiffness, especially in the morning
6. A nurse is assessing a patient for risk factors known to contribute to
osteoarthritis. What assessment finding would the nurse interpret as a risk
factor?
A) The patient has a 30 pack-year smoking history.
, B) The patients body mass index is 34 (obese).
C) The patient has primary hypertension.
D) The patient is 58 years old. - Correct Answer: B) The
patients body mass index is 34 (obese).
7. A patient with systemic lupus erythematosus (SLE) is preparing for
discharge. The nurse knows that the patient has understood health
education when the patient makes what statement?
A) Ill make sure I get enough exposure to sunlight to keep up my
vitamin D levels.
B) Ill try to be as physically active as possible between flare-ups.
C) Ill make sure to monitor my body temperature on a regular
basis.
D) Ill stop taking my steroids when I get relief from my
symptoms. - Correct Answer: C) Ill make sure to monitor
my body temperature on a regular basis.
8. A patient who has been newly diagnosed with systemic lupus
erythematosus (SLE) has been admitted to the medical unit. Which of the
following nursing diagnoses is the most plausible inclusion in the plan of
care?
A) Fatigue Related to Anemia
B) Risk for Ineffective Tissue Perfusion Related to Venous
Thromboembolism
C) Acute Confusion Related to Increased Serum Ammonia Levels
D) Risk for Ineffective Tissue Perfusion Related to Increased
Hematocrit - Correct Answer: A) Fatigue Related to
Anemia
, 9. A community health nurse is performing a visit to the home of a patient
who has a history of rheumatoid arthritis (RA). On what aspect of the
patients health should the nurse focus most closely during the visit?
A) The patients understanding of rheumatoid arthritis
B) The patients risk for cardiopulmonary complications
C) The patients social support system
D) The patients functional status - Correct Answer: D) The
patients functional status
10.A nurses plan of care for a patient with rheumatoid arthritis includes several
exercise-based interventions. Exercises for patients with rheumatoid
disorders should have which of the following goals?
A) Maximize range of motion while minimizing exertion
B) Increase joint size and strength
C) Limit energy output in order to preserve strength for healing
D) Preserve and increase range of motion while limiting joint
stress - Correct Answer: D) Preserve and increase range of
motion while limiting joint stress
11.A nurse is providing care for a patient who has a rheumatic disorder. The
nurses comprehensive assessment includes the patients mood, behavior,
LOC, and neurologic status. What is this patients most likely diagnosis?
A) Osteoarthritis (OA)
B) Systemic lupus erythematosus (SLE)
C) Rheumatoid arthritis (RA)
D) Gout - Correct Answer: B) Systemic lupus erythematosus
(SLE)
