Med Surg 2 - Exam 2 NCLEX Questions
1. 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. <Ans> a. x-ray.
2. A patient is receiving peripheral parenteral nutrition.The parenteral nutri- tion
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. <Ans> b. 5% dextrose solution.
3. 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. <Ans> d. hypophosphatemia.
4. 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 <Ans> Serum phosphate level of 1.9 mg/dL
5. 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 <Ans> Cardiac dysrhythmias
,6. 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. <Ans> Central PN
requires rapid dilution in a large volume of blood.
7. 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 <Ans> Electrolyte levels and daily
weights
8. 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 <Ans> Ensuring that the nex
bag has been ordered
Checking amount of solution left in the bag
Verifying the accuracy of the new solution and ingredients
9. 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
1. 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. <Ans> a. x-ray.
2. A patient is receiving peripheral parenteral nutrition.The parenteral nutri- tion
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. <Ans> b. 5% dextrose solution.
3. 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. <Ans> d. hypophosphatemia.
4. 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 <Ans> Serum phosphate level of 1.9 mg/dL
5. 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 <Ans> Cardiac dysrhythmias
,6. 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. <Ans> Central PN
requires rapid dilution in a large volume of blood.
7. 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 <Ans> Electrolyte levels and daily
weights
8. 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 <Ans> Ensuring that the nex
bag has been ordered
Checking amount of solution left in the bag
Verifying the accuracy of the new solution and ingredients
9. 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
