MEDSURG II Final Exam Latest Actual Exam with Complete Questions & Correct Answers From Real Test 2025

MEDSURG II Final Exam Latest Actual Exam with Complete Questions & Correct Answers From Real Test 2025- This document contains the most recent and authentic Med Surg II Final Exam questions with complete and correct answers directly from the real exam. It thoroughly covers major nursing topics, including cardiovascular, respiratory, neurological, gastrointestinal, renal, endocrine, and emergency care. This comprehensive guide is ideal for nursing students preparing for their Med Surg II final exam, offering reliable, exam-based questions to improve study efficiency and exam success. - A 12-year-old client comes to the emergency department (ED) after being bitten by a scorpion at a local petting zoo. Which action does the nurse perform first? A. Administers a tetanus shot B. Applies an ice pack to the sting site C. Assesses the client's vital signs D. Calls the poison control center - C. Assesses the client's vital signs 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 degrees C. The nurse suspects sepsis from the tooth. The priority intervention by the nurse would be to: A. Administer prescribed antibiotics prior to blood cultures B. Initiate intravenous fluid resuscitation C. Obtain a complete chemistry for laboratory analysis D. Insert an indwelling urinary catheter - B. Initiate intravenous fluid resuscitation 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) 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 - C. Ventilation is inadequate; respiratory acidosis is present A burned client newly arrived from an accident scene is prescribed 4 mg of morphine sulfate intravenously. What is the most important reason the nurse administers the analgesic to this client by the intravenous (IV) route? A. The drug will be effective more quickly than if given IM or subcutaneously B. It is less likely to interfere with the client's breathing and oxygenation C. The danger of an overdose during fluid remobilization is reduced D. The client has delayed gastric emptying - C. The danger of an overdose during fluid remobilization is reduced A client experiences altitude-related illness after visiting a ski resort in Colorado. What is the nurse's priority action when the client is admitted to the emergency department? A. Provide supplemental oxygen B. Place the client on a ventilator C. Perform an electrocardiogram D. Insert a nasogastric tube - A. Provide supplemental oxygen A client is admitted to the ED with multiple stab wounds to his chest, abdomen and arms. What is the nurse's priority upon admission to the ED? A. Check for bleeding from the stab wounds B. Assess and maintain the client's airway C. Start 2 large-bore IV lines D. Assess the level of consciousness - B. Assess and maintain the client's airway