NR309 Med-Surg Final-Exam-Study-Guide Combined with
Questions with Answers 2025
Test .1
A .nursing .manager .is .concerned .about .the .number .of
.infections . on . the . hospital . unit. . What . action . by . the . manager
.would . best . help?
best .possible . answer- .Power .Point .(PP) .Slide .7 .Igi-Pg .418.
The .nursing .instructor .explaining .infection .tells .students .that
.which .factor .is .the .best .and .most .important .barrier .to .infection?
Intact .skin .and .mucous .membrane . Power .Point .Slide .5 .Igi-p .415
Which .type .of .transmission-based .precautions .must .the .nurse
.use . to . prevent .the .transmission . of . tuberculosis?
Airborne .Precautions .pg .419
A .nurse .is .assessing .patients .on .a .medical-surgical .unit.
.Which . adult .patient .does .the .nurse .identify .as .being .at
.greatest .risk .for .insensible . water . loss?
A .patient .who .is .febrile .with .diaphoresis
A .nurse .is .assessing .a .patient .with .hypokalemia .and .notes .that
.the .patient’s .hand-grip .strength .has .diminished .since .the
.previous .assessment .1 .hour .ago. .What .action .does .the .nurse
.take .FIRST?
Assess .the .patient's .respiratory .rate, .rhythm, .and .depth .Fluid
.and . .Electrolyte . table . page .2
Which .patient .is .at .risk .for .hypokalemia?
Patient .with .pancreatitis .who .has .continuous .nasogastric .suction
.Fluid . and . .Electrolyte . Table .pg .2
1. .What .is .the .minimum .amount .of .urine .per .day .needed .to
.excrete .toxic . products?
400 .to .600 .mL .Slide .6 .pg .165
A .patient .with .heart .failure .asks, .―Why .do .I .need .to .weigh
.myself . every .day?‖ . How . would . the .nurse . respond?
,―Weight .is .the .best .indication .that .you .are .gaining .or .losing .fluid." .pg. .168
,The .patient .who .has .undergone .which .surgical .procedure .is .most .at .risk .f
.hypocalcemia?
Parathyroidectomy
A . nurse .is . caring .for . a . patient . who .is . experiencing . excessive
.diarrhea. . The . patient’s . arterial .blood . gas .values . are . pH
.7.18, . PaO2 .98 .mm .Hg, .PaCO2 .45 .mm .Hg .and
HCO3 .16 .mEq/L. .Which .provider .order .does .the .nurse .expect .to .receive?
Sodium .Bicarbonate .100 .mEq .diluted .in .1 .Liter .of .D5W
.Power . Point .Slide .11 . .in .notes .Igi .page .195
The .nurse .is .caring .for .a .patient .who .is .hyperventilating. .The
.patient’s . arterial . blood . gas . values .are .pH . 7.52, . PaO2 . 94mmHg,
.PaCO2 . 31 . mmHg . and . HCO3 . 26mEq. . Which . question . would .the
.nurse . ask . when . developing . this .patient’s . plan . of . care?
You .appear .anxious. .What .is .causing .your .distress? .Open . end
.question . . Asking .for . clarication
A .patient .who .has .Clostridioides .difficile .with .severe .diarrhea
.will .likely .have .related .alteration .in .which .acid .base .balance?
.Metabolic .Acidosis . Slide .11 .p .192
Which .nursing .assessment .nding .indicates .a .worsening .of
.respiratory . acidosis?
Respiratory .Depression .pg. .192
A .patient .has .taken .antacids .for .the .past .3 .weeks .to .relieve .heart
.burn. .What .alteration .in .the .acid .base .balance .with .the .nurse .likely
.nd?
Metabolic . Alkalosis . pg. . 196
The .person .is .with .respiratory .acidosis .is .considered .full
.compensated . with . which . ABG?
pH .7.35 .PaCO2 .is .75 .and .the .HCO3 .is .30 .Slide .16 .pg .190
, An .emergency .department .nurse .obtains .the .health .history .of .a
.patient. . Which . statement . by . the . patient . would . alert .the . nurse
.to . the . occurrence . of . heart . failure?
I . get . short . of . breath . when . I . climb . stairs
The . nurse . evaluates . prescriptions .for . a . patient . with . chronic
.heart .failure. . Which .class . of . medications . would .the . nurse
.expect .to .nd .on .the .patient’s .medication .administration
.record .to . decrease . cardiac . workload?
Ace .Inhibitors .Slides .17 .and .23. .JCHAO .Core .Measure
A .nurse .prepares .to .discharge .a .patient .with .chronic .heart
.failure . home .who .is .prescribed .home .healthcare .services.
.Which .priority .information . would . be .communicated .to . the
.home . health . nurse . upon . discharge?
Medication .reconciliation .Slides .23 .24 .and .Igi .table .35-4
A .nurse .assesses .a .patient .in .an .outpatient .clinic. .Which .statement
.alerts .the .nurse .to .the .possibility .of .left- .sided .heart .failure?
I .wake .up .at .night .short .of .breath. Slide .12 .and .14 .Igi .p. .695
A .nurse .assesses .a .patient .admitted .to .the .cardiac .unit. .Which
.statement .by .the .patient .alerts .the .nurse .to .the .possibility .of .right-
.sided . heart .failure?
My .shoes .t .tight .lately Slide .15 .and .Igi .p696
A .nurse .admits .a .patient .who .is .experiencing .an .exacerbation
.of .heart .failure. .What .action .would .the .nurse .take .rst?
Assess .the .patient’s .respiratory .status Slides .13 .and .14 .Igi .pg .695
The .nurse .performing .a .physical .assessment .on .a .patient .with
.known .cardiovascular .disease .observes .ascites .and .+3 .pitting
.edema .to .lower .extremities. .The .patient .reports .loss .of .appetite
.and .nausea. .How .does .the .nurse .interpret .these .ndings?
Right .Side .Heart .Failure
A .patient .has .been .diagnosed .with .hypertension .but .does
.not . take .the .prescribed .antihypertensive .medication
.because .of .the .patient’s .lack .of .symptoms. .What .is .the .best
.response .by .the . nurse?
Most .people .with .hypertension .do .not .have .symptoms .Slides .13
.and .14 . pg . .722
Questions with Answers 2025
Test .1
A .nursing .manager .is .concerned .about .the .number .of
.infections . on . the . hospital . unit. . What . action . by . the . manager
.would . best . help?
best .possible . answer- .Power .Point .(PP) .Slide .7 .Igi-Pg .418.
The .nursing .instructor .explaining .infection .tells .students .that
.which .factor .is .the .best .and .most .important .barrier .to .infection?
Intact .skin .and .mucous .membrane . Power .Point .Slide .5 .Igi-p .415
Which .type .of .transmission-based .precautions .must .the .nurse
.use . to . prevent .the .transmission . of . tuberculosis?
Airborne .Precautions .pg .419
A .nurse .is .assessing .patients .on .a .medical-surgical .unit.
.Which . adult .patient .does .the .nurse .identify .as .being .at
.greatest .risk .for .insensible . water . loss?
A .patient .who .is .febrile .with .diaphoresis
A .nurse .is .assessing .a .patient .with .hypokalemia .and .notes .that
.the .patient’s .hand-grip .strength .has .diminished .since .the
.previous .assessment .1 .hour .ago. .What .action .does .the .nurse
.take .FIRST?
Assess .the .patient's .respiratory .rate, .rhythm, .and .depth .Fluid
.and . .Electrolyte . table . page .2
Which .patient .is .at .risk .for .hypokalemia?
Patient .with .pancreatitis .who .has .continuous .nasogastric .suction
.Fluid . and . .Electrolyte . Table .pg .2
1. .What .is .the .minimum .amount .of .urine .per .day .needed .to
.excrete .toxic . products?
400 .to .600 .mL .Slide .6 .pg .165
A .patient .with .heart .failure .asks, .―Why .do .I .need .to .weigh
.myself . every .day?‖ . How . would . the .nurse . respond?
,―Weight .is .the .best .indication .that .you .are .gaining .or .losing .fluid." .pg. .168
,The .patient .who .has .undergone .which .surgical .procedure .is .most .at .risk .f
.hypocalcemia?
Parathyroidectomy
A . nurse .is . caring .for . a . patient . who .is . experiencing . excessive
.diarrhea. . The . patient’s . arterial .blood . gas .values . are . pH
.7.18, . PaO2 .98 .mm .Hg, .PaCO2 .45 .mm .Hg .and
HCO3 .16 .mEq/L. .Which .provider .order .does .the .nurse .expect .to .receive?
Sodium .Bicarbonate .100 .mEq .diluted .in .1 .Liter .of .D5W
.Power . Point .Slide .11 . .in .notes .Igi .page .195
The .nurse .is .caring .for .a .patient .who .is .hyperventilating. .The
.patient’s . arterial . blood . gas . values .are .pH . 7.52, . PaO2 . 94mmHg,
.PaCO2 . 31 . mmHg . and . HCO3 . 26mEq. . Which . question . would .the
.nurse . ask . when . developing . this .patient’s . plan . of . care?
You .appear .anxious. .What .is .causing .your .distress? .Open . end
.question . . Asking .for . clarication
A .patient .who .has .Clostridioides .difficile .with .severe .diarrhea
.will .likely .have .related .alteration .in .which .acid .base .balance?
.Metabolic .Acidosis . Slide .11 .p .192
Which .nursing .assessment .nding .indicates .a .worsening .of
.respiratory . acidosis?
Respiratory .Depression .pg. .192
A .patient .has .taken .antacids .for .the .past .3 .weeks .to .relieve .heart
.burn. .What .alteration .in .the .acid .base .balance .with .the .nurse .likely
.nd?
Metabolic . Alkalosis . pg. . 196
The .person .is .with .respiratory .acidosis .is .considered .full
.compensated . with . which . ABG?
pH .7.35 .PaCO2 .is .75 .and .the .HCO3 .is .30 .Slide .16 .pg .190
, An .emergency .department .nurse .obtains .the .health .history .of .a
.patient. . Which . statement . by . the . patient . would . alert .the . nurse
.to . the . occurrence . of . heart . failure?
I . get . short . of . breath . when . I . climb . stairs
The . nurse . evaluates . prescriptions .for . a . patient . with . chronic
.heart .failure. . Which .class . of . medications . would .the . nurse
.expect .to .nd .on .the .patient’s .medication .administration
.record .to . decrease . cardiac . workload?
Ace .Inhibitors .Slides .17 .and .23. .JCHAO .Core .Measure
A .nurse .prepares .to .discharge .a .patient .with .chronic .heart
.failure . home .who .is .prescribed .home .healthcare .services.
.Which .priority .information . would . be .communicated .to . the
.home . health . nurse . upon . discharge?
Medication .reconciliation .Slides .23 .24 .and .Igi .table .35-4
A .nurse .assesses .a .patient .in .an .outpatient .clinic. .Which .statement
.alerts .the .nurse .to .the .possibility .of .left- .sided .heart .failure?
I .wake .up .at .night .short .of .breath. Slide .12 .and .14 .Igi .p. .695
A .nurse .assesses .a .patient .admitted .to .the .cardiac .unit. .Which
.statement .by .the .patient .alerts .the .nurse .to .the .possibility .of .right-
.sided . heart .failure?
My .shoes .t .tight .lately Slide .15 .and .Igi .p696
A .nurse .admits .a .patient .who .is .experiencing .an .exacerbation
.of .heart .failure. .What .action .would .the .nurse .take .rst?
Assess .the .patient’s .respiratory .status Slides .13 .and .14 .Igi .pg .695
The .nurse .performing .a .physical .assessment .on .a .patient .with
.known .cardiovascular .disease .observes .ascites .and .+3 .pitting
.edema .to .lower .extremities. .The .patient .reports .loss .of .appetite
.and .nausea. .How .does .the .nurse .interpret .these .ndings?
Right .Side .Heart .Failure
A .patient .has .been .diagnosed .with .hypertension .but .does
.not . take .the .prescribed .antihypertensive .medication
.because .of .the .patient’s .lack .of .symptoms. .What .is .the .best
.response .by .the . nurse?
Most .people .with .hypertension .do .not .have .symptoms .Slides .13
.and .14 . pg . .722
