Med Surg 2 - Exam 2 NCLEX Questions
Which method is best to use when confirming initial placement of a blindly inserted small-bore NG
feeding tube?
a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate. Correct Answer: a. x-ray.
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition solution is completed
before the new solution arrives on the unit. The nurse gives
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution. Correct Answer: b. 5% dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the nurse carefully
assesses the patient for
a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia. Correct Answer: d. hypophosphatemia.
A patient was admitted with a fractured hip after being found on the floor of her home. She was
extremely malnourished and started on parenteral nutrition (PN) 3 days ago. Which assessment finding
would be of most concern to the nurse?
Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L Correct Answer: Serum phosphate level of 1.9 mg/dL
A patient is admitted with anorexia nervosa and a serum potassium level of 2.4 mEq/L. What
complication is most important for the nurse to observe for in this patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia Correct Answer: Cardiac dysrhythmias
A patient who has sustained severe burns in a motor vehicle accident is starting parenteral nutrition
(PN). Which principle should guide the nurse's administration of PN?
, Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse. Correct Answer: Central PN
requires rapid dilution in a large volume of blood.
Which focused assessments would have priority in the care of a patient recently started on parenteral
nutrition (PN)?
Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness Correct Answer: Electrolyte levels and daily weights
The patient has parenteral nutrition (PN) infusing with amino acids and dextrose. During shift change,
the nurse reports the tubing, bag, and dressing were changed 20 hours ago. What care should the
incoming nurse plan to deliver (select all that apply.)?
Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and ingredients Correct Answer: Ensuring that the next bag
has been ordered
Checking amount of solution left in the bag
Verifying the accuracy of the new solution and ingredients
A 35-year-old female patient is admitted to the emergency department with acute abdominal pain.
Which medical diagnoses should you consider as possible causes of her pain (select all that apply)?
a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease Correct Answer: a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease
Assessment findings suggestive of peritonitis include (select all that apply)
a. rebound tenderness.
b. a soft, distended abdomen.
c. dull, intermittent abdominal pain.
d. shallow respirations with bradypnea.
Which method is best to use when confirming initial placement of a blindly inserted small-bore NG
feeding tube?
a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate. Correct Answer: a. x-ray.
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition solution is completed
before the new solution arrives on the unit. The nurse gives
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution. Correct Answer: b. 5% dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the nurse carefully
assesses the patient for
a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia. Correct Answer: d. hypophosphatemia.
A patient was admitted with a fractured hip after being found on the floor of her home. She was
extremely malnourished and started on parenteral nutrition (PN) 3 days ago. Which assessment finding
would be of most concern to the nurse?
Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L Correct Answer: Serum phosphate level of 1.9 mg/dL
A patient is admitted with anorexia nervosa and a serum potassium level of 2.4 mEq/L. What
complication is most important for the nurse to observe for in this patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia Correct Answer: Cardiac dysrhythmias
A patient who has sustained severe burns in a motor vehicle accident is starting parenteral nutrition
(PN). Which principle should guide the nurse's administration of PN?
, Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse. Correct Answer: Central PN
requires rapid dilution in a large volume of blood.
Which focused assessments would have priority in the care of a patient recently started on parenteral
nutrition (PN)?
Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness Correct Answer: Electrolyte levels and daily weights
The patient has parenteral nutrition (PN) infusing with amino acids and dextrose. During shift change,
the nurse reports the tubing, bag, and dressing were changed 20 hours ago. What care should the
incoming nurse plan to deliver (select all that apply.)?
Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and ingredients Correct Answer: Ensuring that the next bag
has been ordered
Checking amount of solution left in the bag
Verifying the accuracy of the new solution and ingredients
A 35-year-old female patient is admitted to the emergency department with acute abdominal pain.
Which medical diagnoses should you consider as possible causes of her pain (select all that apply)?
a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease Correct Answer: a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease
Assessment findings suggestive of peritonitis include (select all that apply)
a. rebound tenderness.
b. a soft, distended abdomen.
c. dull, intermittent abdominal pain.
d. shallow respirations with bradypnea.
