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MEDSURG 2 FINAL EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client who has been receiving heparin subcutaneously for 10
days has all of the following laboratory blood test values. Which
value does the nurse report immediately to the prescriber?
A. Activated partial thromboplastin time 1.5
B. International normalized ratio 1.7
C. Red blood cells 4.2 million/mm3
D. Platelets 20,000/mm3 - ANSWER-D. Platelets 20,000/mm3
A client who has a pulmonary embolism and a venous
thromboembolism is to be started on oral warfarin (Coumadin)
while still receiving intravenous heparin. What is the nurse's best
action?
A. Administer the medications as prescribed
B. Remind the prescriber that two anticoagulants should not be
administered concurrently
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C. Hold the dose of wwarfarin until the client's partial
thromboplastin time is the same as the control value
D. Monitor the client for clinical manifestations of internal or
external bleeding at least every 2 hours - ANSWER-A. Administer
the medications as prescribed
Which assessment finding in a client with an endotracheal tube
most strongly indicates to the nurse that the tube remains
correctly in the trachea and is not in the esophagus?
A. Stomach contents cannot be aspirated
B. Oxygen saturation is greater than 50%
C. End-tidal carbon dioxide level is 38 mm Hg
D. No air is heard in the stomach when auscultated with a
stethoscope - ANSWER-C. End-tidal carbon dioxide level is 38
mm Hg
A 6-foot, 6-inch tall 38-year-old man is being mechanically
ventilated at a tidal volume of 500 mL and a respiratory rate of 16
breaths per minute. His most recent arterial blood gas (ABG)
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results are: pH = 7.33; Pao2 = 85 mm Hg; Paco2 = 55 mm Hg.
What is the nurse's interpretation of these results?
A. Ventilation is adequate to maintain oxygenation
B. Ventilation is excessive; respiratory alkalosis is present
C. Ventilation is inadequate; respiratory acidosis is present
D. Ventilation status cannot be determined from the information
presented - ANSWER-C. Ventilation is inadequate; respiratory
acidosis is present
At the hourly assessment of an intubated client after positive end-
expiratory pressure (PEEP) has been discontinued, the nurse
notes all of the following changes. For which one does the nurse
notify the physician?
A. The client is now talking around the endotracheal tube
B. Breath sounds are reduced over the left lung compared with
the right
C. Oxygen saturation has increased from 90% to 95% at an Fio2
of 40%
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D. The PIP dial now drops to zero at the end of exhalation instead
of to only 10 cm H2O - ANSWER-B. Breath sounds are reduced
over the left lung compared with the right
A patient is at risk for shock. Over the next hour, the patient
continues to decline with a decreased level of consciousness and
a temperature of 103.8 degrees F. BP is 80/40, HR is 134 and RR
is 34. You call the provider to report these findings and obtain
orders for the patient to be transferred to ICU. When preparing for
this transfer, you note that the O2 saturation is 87% on room air.
What intervention should you perform first?
A. Apply oxygen at 2-3 L per nasal cannula
B. Draw an arterial blood gas sample
C. Administer acetaminophen 650 mg by mouth
D. Place the patient on a cardiac telemetry monitor - ANSWER-A.
Apply oxygen at 2-3 L per nasal cannula
A 37-year-old male is admitted with a severely abscessed tooth,
BP 90/42, HR 136, RR 28, SpO2 90% on room air, T 38.7
MEDSURG 2 FINAL EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client who has been receiving heparin subcutaneously for 10
days has all of the following laboratory blood test values. Which
value does the nurse report immediately to the prescriber?
A. Activated partial thromboplastin time 1.5
B. International normalized ratio 1.7
C. Red blood cells 4.2 million/mm3
D. Platelets 20,000/mm3 - ANSWER-D. Platelets 20,000/mm3
A client who has a pulmonary embolism and a venous
thromboembolism is to be started on oral warfarin (Coumadin)
while still receiving intravenous heparin. What is the nurse's best
action?
A. Administer the medications as prescribed
B. Remind the prescriber that two anticoagulants should not be
administered concurrently
,2|Page
C. Hold the dose of wwarfarin until the client's partial
thromboplastin time is the same as the control value
D. Monitor the client for clinical manifestations of internal or
external bleeding at least every 2 hours - ANSWER-A. Administer
the medications as prescribed
Which assessment finding in a client with an endotracheal tube
most strongly indicates to the nurse that the tube remains
correctly in the trachea and is not in the esophagus?
A. Stomach contents cannot be aspirated
B. Oxygen saturation is greater than 50%
C. End-tidal carbon dioxide level is 38 mm Hg
D. No air is heard in the stomach when auscultated with a
stethoscope - ANSWER-C. End-tidal carbon dioxide level is 38
mm Hg
A 6-foot, 6-inch tall 38-year-old man is being mechanically
ventilated at a tidal volume of 500 mL and a respiratory rate of 16
breaths per minute. His most recent arterial blood gas (ABG)
,3|Page
results are: pH = 7.33; Pao2 = 85 mm Hg; Paco2 = 55 mm Hg.
What is the nurse's interpretation of these results?
A. Ventilation is adequate to maintain oxygenation
B. Ventilation is excessive; respiratory alkalosis is present
C. Ventilation is inadequate; respiratory acidosis is present
D. Ventilation status cannot be determined from the information
presented - ANSWER-C. Ventilation is inadequate; respiratory
acidosis is present
At the hourly assessment of an intubated client after positive end-
expiratory pressure (PEEP) has been discontinued, the nurse
notes all of the following changes. For which one does the nurse
notify the physician?
A. The client is now talking around the endotracheal tube
B. Breath sounds are reduced over the left lung compared with
the right
C. Oxygen saturation has increased from 90% to 95% at an Fio2
of 40%
, 4|Page
D. The PIP dial now drops to zero at the end of exhalation instead
of to only 10 cm H2O - ANSWER-B. Breath sounds are reduced
over the left lung compared with the right
A patient is at risk for shock. Over the next hour, the patient
continues to decline with a decreased level of consciousness and
a temperature of 103.8 degrees F. BP is 80/40, HR is 134 and RR
is 34. You call the provider to report these findings and obtain
orders for the patient to be transferred to ICU. When preparing for
this transfer, you note that the O2 saturation is 87% on room air.
What intervention should you perform first?
A. Apply oxygen at 2-3 L per nasal cannula
B. Draw an arterial blood gas sample
C. Administer acetaminophen 650 mg by mouth
D. Place the patient on a cardiac telemetry monitor - ANSWER-A.
Apply oxygen at 2-3 L per nasal cannula
A 37-year-old male is admitted with a severely abscessed tooth,
BP 90/42, HR 136, RR 28, SpO2 90% on room air, T 38.7
