NUR 209 EXAM 3 (FORTIS) NEWEST 2026 ACTUAL
EXAM TEST BANK| NUR209 MEDICAL SURGICAL
NURSING II EXAM 3 REVIEW WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
Which of the following is a priority goal for the diabetic client who is
taking insulin and has nausea and vomiting from a viral illness or
influenza?
1. Obtaining adequate food intake.
2. Managing own health.
3. Relieving pain.
4. Increasing activity. - Correct Answer - 1
A client is to have a transsphenoidal hypophysectomy to remove a large,
invasive pituitary tumor. The nurse should instruct the client that the
surgery will be performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the upper gums and lip. -
Correct Answer - 4
A patient is complaining of a sharp pain along the costovertebral angles.
The nurse knows that this symptom is most often indicative of:
1. ovary infection.
pg. 1
,2. liver enlargement.
3. kidney inflammation.
4. spleen enlargement. - Correct Answer - 3. kidney inflammation.
During an assessment of a newborn infant, the nurse recalls that pyloric
stenosis would be manifested by:
1. projectile vomiting.
2. hypoactive bowel activity.
3. palpable olive-sized mass in right lower quadrant.
4. pronounced peristaltic wave crossing from right to left. - Correct
Answer - 1. projectile vomiting.
A patient is suspected of having inflammation of the gallbladder, or
cholecystitis. The nurse should conduct which of these techniques to
assess for this condition?
1. Obturator test
2. Test for Murphy's sign
3. Assess for rebound tenderness
4. Iliopsoas muscle test - Correct Answer - 2. Test for Murphy's sign
To help minimize the risk of postoperative respiratory complications
after a hypophysectomy, during preoperative teaching, the nurse should
instruct the client how to:
1. Use incentive spirometry.
2. Turn in bed.
3. Take deep breaths.
pg. 2
,4. Cough. - Correct Answer - 3
Following a transsphenoidal hypophysectomy, the nurse should assess
the client for:
1. Cerebrospinal fluid (CSF) leak.
2. Fluctuating blood glucose levels.
3. Cushing's syndrome.
4. Cardiac arrhythmias. - Correct Answer - 1
Which of the following is the most important goal of nursing care for a
client who is in shock?
1. Manage fluid overload.
2. Manage increased cardiac output.
3. Manage inadequate tissue perfusion.
4. Manage vasoconstriction of vascular beds. - Correct Answer - 3
Which of the following indicates hypovolemic shock in a client who has
had a 15% blood loss?
1. Pulse rate less than 60 bpm.
2. Respiratory rate of 4 breaths/min.
3. Pupils unequally dilated.
4. Systolic blood pressure less than 90 mm Hg. - Correct Answer - 4
Which of the following findings is the best indication that fluid
replacement for the client in hypovolemic shock is adequate?
1. Urine output greater than 30 mL/h.
pg. 3
, 2. Systolic blood pressure greater than 110 mm Hg.
3. Diastolic blood pressure greater than 90 mm Hg.
4. Respiratory rate of 20 breaths/min. - Correct Answer - 1
When assessing a client for early septic shock, the nurse should assess
the client for which of the following?
1. Cool, clammy skin.
2. Warm, flushed skin.
3. Increased blood pressure.
4. Hemorrhage. - Correct Answer - 2
The client who does not respond adequately to fluid replacement has a
prescription for an IV infusion of dopamine hydrochloride at 5
mcg/kg/min. To determine that the drug is having the desired effect, the
nurse should assess the client for:
1. Increased renal and mesenteric blood flow.
2. Increased cardiac output.
3. Vasoconstriction.
4. Reduced preload and afterload. - Correct Answer - 2
A patient who is 8 months pregnant comments that she has noticed a
change in posture and is having lower back pain. The nurse tells her that
during pregnancy women have a posture shift to compensate for the
enlarging fetus. This shift in posture is known as:
1. lordosis.
2. scoliosis.
pg. 4
EXAM TEST BANK| NUR209 MEDICAL SURGICAL
NURSING II EXAM 3 REVIEW WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
Which of the following is a priority goal for the diabetic client who is
taking insulin and has nausea and vomiting from a viral illness or
influenza?
1. Obtaining adequate food intake.
2. Managing own health.
3. Relieving pain.
4. Increasing activity. - Correct Answer - 1
A client is to have a transsphenoidal hypophysectomy to remove a large,
invasive pituitary tumor. The nurse should instruct the client that the
surgery will be performed through an incision in the:
1. Back of the mouth.
2. Nose.
3. Sinus channel below the right eye.
4. Upper gingival mucosa in the space between the upper gums and lip. -
Correct Answer - 4
A patient is complaining of a sharp pain along the costovertebral angles.
The nurse knows that this symptom is most often indicative of:
1. ovary infection.
pg. 1
,2. liver enlargement.
3. kidney inflammation.
4. spleen enlargement. - Correct Answer - 3. kidney inflammation.
During an assessment of a newborn infant, the nurse recalls that pyloric
stenosis would be manifested by:
1. projectile vomiting.
2. hypoactive bowel activity.
3. palpable olive-sized mass in right lower quadrant.
4. pronounced peristaltic wave crossing from right to left. - Correct
Answer - 1. projectile vomiting.
A patient is suspected of having inflammation of the gallbladder, or
cholecystitis. The nurse should conduct which of these techniques to
assess for this condition?
1. Obturator test
2. Test for Murphy's sign
3. Assess for rebound tenderness
4. Iliopsoas muscle test - Correct Answer - 2. Test for Murphy's sign
To help minimize the risk of postoperative respiratory complications
after a hypophysectomy, during preoperative teaching, the nurse should
instruct the client how to:
1. Use incentive spirometry.
2. Turn in bed.
3. Take deep breaths.
pg. 2
,4. Cough. - Correct Answer - 3
Following a transsphenoidal hypophysectomy, the nurse should assess
the client for:
1. Cerebrospinal fluid (CSF) leak.
2. Fluctuating blood glucose levels.
3. Cushing's syndrome.
4. Cardiac arrhythmias. - Correct Answer - 1
Which of the following is the most important goal of nursing care for a
client who is in shock?
1. Manage fluid overload.
2. Manage increased cardiac output.
3. Manage inadequate tissue perfusion.
4. Manage vasoconstriction of vascular beds. - Correct Answer - 3
Which of the following indicates hypovolemic shock in a client who has
had a 15% blood loss?
1. Pulse rate less than 60 bpm.
2. Respiratory rate of 4 breaths/min.
3. Pupils unequally dilated.
4. Systolic blood pressure less than 90 mm Hg. - Correct Answer - 4
Which of the following findings is the best indication that fluid
replacement for the client in hypovolemic shock is adequate?
1. Urine output greater than 30 mL/h.
pg. 3
, 2. Systolic blood pressure greater than 110 mm Hg.
3. Diastolic blood pressure greater than 90 mm Hg.
4. Respiratory rate of 20 breaths/min. - Correct Answer - 1
When assessing a client for early septic shock, the nurse should assess
the client for which of the following?
1. Cool, clammy skin.
2. Warm, flushed skin.
3. Increased blood pressure.
4. Hemorrhage. - Correct Answer - 2
The client who does not respond adequately to fluid replacement has a
prescription for an IV infusion of dopamine hydrochloride at 5
mcg/kg/min. To determine that the drug is having the desired effect, the
nurse should assess the client for:
1. Increased renal and mesenteric blood flow.
2. Increased cardiac output.
3. Vasoconstriction.
4. Reduced preload and afterload. - Correct Answer - 2
A patient who is 8 months pregnant comments that she has noticed a
change in posture and is having lower back pain. The nurse tells her that
during pregnancy women have a posture shift to compensate for the
enlarging fetus. This shift in posture is known as:
1. lordosis.
2. scoliosis.
pg. 4
