Updated
Med Surg II Exam One Study
Guide
• The client is admitted to a nursing unit from a long-term care facility with a hematocrit of
56 and serum sodium of 152. Which conditions is a cause for this?
o Overhydration
o Anemia
o Dehydration
o Renal Failure
• Patient suffered a head injury which IV fluid does the nurse question if ordered?
o D5% W
o 0.45% saline
o 3. 0.9% saline
o 4. 3% normal saline
• Patient has +3 pitting edema and ascites due to liver cirrhosis. Which treatment will the
nurse anticipate giving?
o whole blood
o TPN
o Albumin
o Ensure
• The nurse writes the client problem of “fluid volume excess” Which intervention should
be included in the plan of care?
o Change the IVF from 0.9%NS to D5W
o Restrict the sodium in client’s diet
o Monitor blood glucose levels
o Prepare the client for hemodialysis
• A nurse is caring for a client who is admitted with acute renal failure. Which order would
the nurse question?
o Lactated Ringers
o CMP
o Low Potassium and Protein diet
o Strict Intake and Output
• The client has a Hct 22.3 and Hgb 7.7. The health care provider has ordered 2 units
PRBCs to be transfused. Which interventions should the nurse implement? SATA
o verify signed consent
o Initiate a 22-gauage IV
o Assess the client’s lungs
o Check for allergies
o Hand a keep-vein open IV of D5W
Med Surg II Exam One Study
Guide
• The client is admitted to a nursing unit from a long-term care facility with a hematocrit of
56 and serum sodium of 152. Which conditions is a cause for this?
o Overhydration
o Anemia
o Dehydration
o Renal Failure
• Patient suffered a head injury which IV fluid does the nurse question if ordered?
o D5% W
o 0.45% saline
o 3. 0.9% saline
o 4. 3% normal saline
• Patient has +3 pitting edema and ascites due to liver cirrhosis. Which treatment will the
nurse anticipate giving?
o whole blood
o TPN
o Albumin
o Ensure
• The nurse writes the client problem of “fluid volume excess” Which intervention should
be included in the plan of care?
o Change the IVF from 0.9%NS to D5W
o Restrict the sodium in client’s diet
o Monitor blood glucose levels
o Prepare the client for hemodialysis
• A nurse is caring for a client who is admitted with acute renal failure. Which order would
the nurse question?
o Lactated Ringers
o CMP
o Low Potassium and Protein diet
o Strict Intake and Output
• The client has a Hct 22.3 and Hgb 7.7. The health care provider has ordered 2 units
PRBCs to be transfused. Which interventions should the nurse implement? SATA
o verify signed consent
o Initiate a 22-gauage IV
o Assess the client’s lungs
o Check for allergies
o Hand a keep-vein open IV of D5W
