MDC II EXAM 2 NEWEST 2026
ACTUAL EXAM TEST BANK| MEDICAL
SURGICAL NURSING II EXAM 2
REVIEW WITH COMPLETE 80 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
AmpatientmismbroughtmintomthemEDmwithmrespiratorymdepression.mThempatientmhasmamhistorymofmCO
PD.mWhatmacid-basemimbalancemismmostmlikely?m-
mCORRECTmANSWERmRespiratorymAcidosis.mThempatientmlikelymhasmambuild-
upmofmCO2,mcausingmrespiratorymacidosis.
Themnursemismevaluatingmthemlabmworkmofmampatientmwhomhasmuncontrolledmmetabolicmacidosis.m
Whichmlabmresultmwouldmresultmfrommthismcondition?
A)mpHm7.4
B)mPaO2m98mmmmHg
C)mbicarbonatem38mmEq/mL
D)mserummpotassiumm5.7mmEq/Lm-
mCORRECTmANSWERmD)mserummpotassiumm5.7mmEq/L.mSerummpotassiummincreasesmduringmacido
sismtomtrymtombuffermthemacidicmconditions.
Themnursemismreviewingmthemstandingmordersmformampatientmwhomwasmadmittedmformevaluationmofm
chestmpain.mThempatientmhasmamhistorymofmchronicmobstructivempulmonarymdiseasem(COPD)mandmhi
smlaboratorymresultsmandmassessmentmrevealmthatmhemhasmmildmrespiratorymacidosis.mThemnursemw
ouldmquestionmwhichmorder?
A.Encouragemoralmfluids
B.Keepmheadmofmbedmelevated
C.Oxygenmtherapymatm4mL/minmasmneeded
,D.Bedrestmwithmbathroommprivilegesmonlym-
mCORRECTmANSWERmC)mOxygenmtherapymatm4L/mMinmasmneeded.mOxygenmtherapymismoftenmorder
edmformrespiratorymacidosis.mHowever,mCOPDmpatientsmhavemamdifficultmtimemoff-
loadingmcarbonmdioxidemandmgivingmtoommuchmoxygenmcanmcausemthesempatientsmtomhavemamdecre
aseminmrespiratorymdrive,mleadingmtomrespiratorymarrest.
Amclientmhasmacutemalcoholmintoxication.mWhatmacid-basemimbalancemismthemclientmatmriskmfor?m-
mCORRECTmANSWERmmetabolicmacidosis.
AmclientmcomesmintomthemEDmwithmrespiratorymacidosis.mWhatmtypemofmmedicationmwouldmthemnur
semlikelymadminister?m-mCORRECTmANSWERmbronchodilators
AmclientmcomesmintomthemEDmwithmamhighmfevermandmismhyperventilating.mHismABGmresultsmarempHm
7.51,mPaCO2m28mmmmHg,mandmHCO3m24mmEq/L.mThemnursemshouldmidentifymthatmthemclientmhasmw
hichmacid-basemimbalance?m-
mCORRECTmANSWERmRespiratorymAlkalosis.mBecausemthemclientmismbreathingmrapidly,mhemismexhali
ngmexcessivemamountsmofmcarbonmdioxide.mThismlossmofmcarbonmdioxidemdecreasesmthemhydrogenm
ionmlevelmofmthemblood,mcausingmthempHmtomincreasemandmresultingminmrespiratorymalkalosis.
Amnursemismcaringmformamclientmwhomhasmmetabolicmalkalosis.mAsmthemclientmcompensatesmformthism
ac
id-
basemimbalance,mwhichmofmthemfollowingmmechanismsmshouldmthemnursemexpectmthemclient'smbod
ymtomuse?m-mCORRECTmANSWERmHypoventilation.
Hypoventilationmismthemmechanismmthatmhelpsmclientsmcompensatemformmetabolicmalkalosis.
AmnursemisminsertingmanmNGmtubemformamclientmwhomismbeginningmenteralmfeedings.mWhatmactionms
houldmthemnursemtakemtomverifymtubemplacementmbeforemadministeringminitialmfeeding?m-
mCORRECTmANSWERmVerifymtubemplacementmwithmradiography
, WhichmpatientmstatementmalertsmthemnursemtomperformmamthoroughmGImhistorymandmfocusedmasse
ssment?
A."Imdon'tmlikemthemtastemofmspicymfoods."
B."Imgotmdenturesmfourmyearsmago."
C."Imexperiencemoccasionalmconstipation."
D."Imtakemibuprofenmthreemtimesmdailymformarthritis."m-
mCORRECTmANSWERmD.mlargemamountsmofmaspirinmormNSAIDsmcanmcausempepticmulcermdiseaseman
dmGImbleeding.
Aftermabdominalmsurgery,mwhichmquestionmshouldmthemnursemaskmthempatientmtomdeterminemwhet
hermperistalticmmovementmismreturning?
A."Havemyoumpassedmflatus?"
B."Aremyoumhungry"
C."Domyoumhavemanymnausea?"
D."Ismyourmpainmlevelmmanageable?"m-
mCORRECTmANSWERmA).mPassingmgasmismevidencemofmperistalticmmovement
WhenmadministeringmamnewmGImmedicationmtomanmoldermpatient,mthemnursemanticipatesmwhat?
A.Amhigher-than-normalmdosemmaymbemneeded.
B.Closemmonitoringmismneededmbecausemtoxicmlevelsmmaymdevelop.
C.Oldermadultsmalwaysmrequiremamlower-than-normalmdosemthanmyoungermpatients.
Nauseamandmvomitingmmaymdevelopmrapidlymandmaremcommonmsidemeffectsminmoldermadultsm-
mCORRECTmANSWERmB.Closemmonitoringmismneededmbecausemtoxicmlevelsmmaymdevelop.
ACTUAL EXAM TEST BANK| MEDICAL
SURGICAL NURSING II EXAM 2
REVIEW WITH COMPLETE 80 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
AmpatientmismbroughtmintomthemEDmwithmrespiratorymdepression.mThempatientmhasmamhistorymofmCO
PD.mWhatmacid-basemimbalancemismmostmlikely?m-
mCORRECTmANSWERmRespiratorymAcidosis.mThempatientmlikelymhasmambuild-
upmofmCO2,mcausingmrespiratorymacidosis.
Themnursemismevaluatingmthemlabmworkmofmampatientmwhomhasmuncontrolledmmetabolicmacidosis.m
Whichmlabmresultmwouldmresultmfrommthismcondition?
A)mpHm7.4
B)mPaO2m98mmmmHg
C)mbicarbonatem38mmEq/mL
D)mserummpotassiumm5.7mmEq/Lm-
mCORRECTmANSWERmD)mserummpotassiumm5.7mmEq/L.mSerummpotassiummincreasesmduringmacido
sismtomtrymtombuffermthemacidicmconditions.
Themnursemismreviewingmthemstandingmordersmformampatientmwhomwasmadmittedmformevaluationmofm
chestmpain.mThempatientmhasmamhistorymofmchronicmobstructivempulmonarymdiseasem(COPD)mandmhi
smlaboratorymresultsmandmassessmentmrevealmthatmhemhasmmildmrespiratorymacidosis.mThemnursemw
ouldmquestionmwhichmorder?
A.Encouragemoralmfluids
B.Keepmheadmofmbedmelevated
C.Oxygenmtherapymatm4mL/minmasmneeded
,D.Bedrestmwithmbathroommprivilegesmonlym-
mCORRECTmANSWERmC)mOxygenmtherapymatm4L/mMinmasmneeded.mOxygenmtherapymismoftenmorder
edmformrespiratorymacidosis.mHowever,mCOPDmpatientsmhavemamdifficultmtimemoff-
loadingmcarbonmdioxidemandmgivingmtoommuchmoxygenmcanmcausemthesempatientsmtomhavemamdecre
aseminmrespiratorymdrive,mleadingmtomrespiratorymarrest.
Amclientmhasmacutemalcoholmintoxication.mWhatmacid-basemimbalancemismthemclientmatmriskmfor?m-
mCORRECTmANSWERmmetabolicmacidosis.
AmclientmcomesmintomthemEDmwithmrespiratorymacidosis.mWhatmtypemofmmedicationmwouldmthemnur
semlikelymadminister?m-mCORRECTmANSWERmbronchodilators
AmclientmcomesmintomthemEDmwithmamhighmfevermandmismhyperventilating.mHismABGmresultsmarempHm
7.51,mPaCO2m28mmmmHg,mandmHCO3m24mmEq/L.mThemnursemshouldmidentifymthatmthemclientmhasmw
hichmacid-basemimbalance?m-
mCORRECTmANSWERmRespiratorymAlkalosis.mBecausemthemclientmismbreathingmrapidly,mhemismexhali
ngmexcessivemamountsmofmcarbonmdioxide.mThismlossmofmcarbonmdioxidemdecreasesmthemhydrogenm
ionmlevelmofmthemblood,mcausingmthempHmtomincreasemandmresultingminmrespiratorymalkalosis.
Amnursemismcaringmformamclientmwhomhasmmetabolicmalkalosis.mAsmthemclientmcompensatesmformthism
ac
id-
basemimbalance,mwhichmofmthemfollowingmmechanismsmshouldmthemnursemexpectmthemclient'smbod
ymtomuse?m-mCORRECTmANSWERmHypoventilation.
Hypoventilationmismthemmechanismmthatmhelpsmclientsmcompensatemformmetabolicmalkalosis.
AmnursemisminsertingmanmNGmtubemformamclientmwhomismbeginningmenteralmfeedings.mWhatmactionms
houldmthemnursemtakemtomverifymtubemplacementmbeforemadministeringminitialmfeeding?m-
mCORRECTmANSWERmVerifymtubemplacementmwithmradiography
, WhichmpatientmstatementmalertsmthemnursemtomperformmamthoroughmGImhistorymandmfocusedmasse
ssment?
A."Imdon'tmlikemthemtastemofmspicymfoods."
B."Imgotmdenturesmfourmyearsmago."
C."Imexperiencemoccasionalmconstipation."
D."Imtakemibuprofenmthreemtimesmdailymformarthritis."m-
mCORRECTmANSWERmD.mlargemamountsmofmaspirinmormNSAIDsmcanmcausempepticmulcermdiseaseman
dmGImbleeding.
Aftermabdominalmsurgery,mwhichmquestionmshouldmthemnursemaskmthempatientmtomdeterminemwhet
hermperistalticmmovementmismreturning?
A."Havemyoumpassedmflatus?"
B."Aremyoumhungry"
C."Domyoumhavemanymnausea?"
D."Ismyourmpainmlevelmmanageable?"m-
mCORRECTmANSWERmA).mPassingmgasmismevidencemofmperistalticmmovement
WhenmadministeringmamnewmGImmedicationmtomanmoldermpatient,mthemnursemanticipatesmwhat?
A.Amhigher-than-normalmdosemmaymbemneeded.
B.Closemmonitoringmismneededmbecausemtoxicmlevelsmmaymdevelop.
C.Oldermadultsmalwaysmrequiremamlower-than-normalmdosemthanmyoungermpatients.
Nauseamandmvomitingmmaymdevelopmrapidlymandmaremcommonmsidemeffectsminmoldermadultsm-
mCORRECTmANSWERmB.Closemmonitoringmismneededmbecausemtoxicmlevelsmmaymdevelop.
