NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2 NEWEST
2025/2026 COMPLETE 400 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A male patient who has right-sided weakness after a stroke is making progress in
learning to use the left hand for feeding and other activities. The nurse observes
that when the patient's wife is visiting, she feeds and dresses him. Which nursing
diagnosis is most appropriate for the patient?
A. Interrupted family processes related to effects of illness of a family member
B. Situational low self-esteem related to increasing dependence on spouse for
care
C. Disabled family coping related to inadequate understanding by patient's spouse
D. Impaired nutrition: less than body requirements related to hemiplegia and
aphasia - ANSWER-C. Disabled family coping related to inadequate understanding
by patient's spouse
The information supports the diagnosis of disabled family coping because the wife
does not understand the rehabilitation program. There are no data supporting low
self-esteem, and the patient is attempting independence. The data do not support
an interruption in family processes because this may be a typical pattern for the
couple. There is no indication that the patient has impaired nutrition.
A patient hospitalized with a new diagnosis of Guillain-Barré syndrome has
numbness and weakness of both feet. The nurse will anticipate teaching the
patient about
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, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
A. infusion of immunoglobulin
B. intubation and mechanical ventilation.
C. administration of corticosteroid drugs.
D. insertion of a nasogastric (NG) feeding tube. - ANSWER-D. insertion of a
nasogastric (NG) feeding tube.
Because Guillain-Barré syndrome is in the earliest stages (as evidenced by the
symptoms), use of high-dose immunoglobulin is appropriate to reduce the extent
and length of symptoms. Mechanical ventilation and tube feedings may be used
later in the progression of the syndrome but are not needed now. Corticosteroid
use is not helpful in reducing the duration or symptoms of the syndrome.
Which intervention will the nurse include in the plan of care for a patient with
moderate dementia who had a fractured hip repair 2 days ago?
A. Provide complete personal hygiene care for the patient.
B. Remind the patient frequently about being in the hospital.
C. Reposition the patient frequently to avoid skin breakdown.
D. Place suction at the bedside to decrease the risk for aspiration. - ANSWER-B.
Remind the patient frequently about being in the hospital.
The patient with moderate dementia will have problems with short- and long-
term memory and will need reminding about the hospitalization. The other
interventions would be used for a patient with severe dementia, who would have
difficulty with swallowing, self-care, and immobility.
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, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
Which action will the nurse include in the plan of care for a patient who has a
cauda equina spinal cord injury?
A. Catheterize patient every 3 to 4 hours.
B. Assist patient to ambulate 4 times daily.
C. Administer medications to reduce bladder spasm.
D. Stabilize the neck when repositioning the patient. - ANSWER-A. Catheterize
patient every 3 to 4 hours.
Patients with cauda equina syndrome have areflexic bladder, and intermittent
catheterization will be used for emptying the bladder. Because the bladder is
flaccid, antispasmodic medications will not be used. The legs are flaccid with
cauda equina syndrome, and the patient will be unable to ambulate. The head
and neck will not need to be stabilized after a cauda equina injury, which affects
the lumbar and sacral nerve roots.
When administering the Mini-Cog exam to a patient with possible Alzheimer's
disease, which action will the nurse take?
A. Check the patient's orientation to time and date.
B. Obtain a list of the patient's prescribed medications.
C. Ask the person to use a clock drawing to indicate a specific time.
D. Determine the patient's ability to recognize a common object such as a pen. -
ANSWER-C. Ask the person to use a clock drawing to indicate a specific time.
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, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
In the Mini-Cog, patients illustrate a specific time stated by the examiner by
drawing the time on a clock face. The other actions may be included in
assessment for Alzheimer's disease but are not part of the Mini-Cog exam.
A patient is being evaluated for Alzheimer's disease (AD). The nurse explains to
the patient's adult children that
A. the most important risk factor for AD is a family history of the disorder.
B. a diagnosis of AD is made only after other causes of dementia are ruled out
C. new drugs have been shown to reverse AD deterioration dramatically in some
D. brain atrophy detected by magnetic resonance imaging (MRI) would confirm
the diagnosis of AD. - ANSWER-B. a diagnosis of AD is made only after other
causes of dementia are ruled out.
The diagnosis of AD is usually one of exclusion. Age is the most important risk
factor for development of AD. Drugs may slow the deterioration but do not
reverse the effects of AD. Brain atrophy is a common finding in AD, but it can
occur in other diseases as well and does not confirm a diagnosis of AD.
After endotracheal suctioning, the nurse notes that the intracranial pressure (ICP)
for a patient with a traumatic head injury has increased from 14 to 17 mm Hg.
Which action should the nurse take first?
A. Document the increase in intracranial pressure.
B. Ensure that the patient's neck is in neutral position.
C. Notify the health care provider about the change in pressure.
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NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2 NEWEST
2025/2026 COMPLETE 400 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
A male patient who has right-sided weakness after a stroke is making progress in
learning to use the left hand for feeding and other activities. The nurse observes
that when the patient's wife is visiting, she feeds and dresses him. Which nursing
diagnosis is most appropriate for the patient?
A. Interrupted family processes related to effects of illness of a family member
B. Situational low self-esteem related to increasing dependence on spouse for
care
C. Disabled family coping related to inadequate understanding by patient's spouse
D. Impaired nutrition: less than body requirements related to hemiplegia and
aphasia - ANSWER-C. Disabled family coping related to inadequate understanding
by patient's spouse
The information supports the diagnosis of disabled family coping because the wife
does not understand the rehabilitation program. There are no data supporting low
self-esteem, and the patient is attempting independence. The data do not support
an interruption in family processes because this may be a typical pattern for the
couple. There is no indication that the patient has impaired nutrition.
A patient hospitalized with a new diagnosis of Guillain-Barré syndrome has
numbness and weakness of both feet. The nurse will anticipate teaching the
patient about
1|Page
, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
A. infusion of immunoglobulin
B. intubation and mechanical ventilation.
C. administration of corticosteroid drugs.
D. insertion of a nasogastric (NG) feeding tube. - ANSWER-D. insertion of a
nasogastric (NG) feeding tube.
Because Guillain-Barré syndrome is in the earliest stages (as evidenced by the
symptoms), use of high-dose immunoglobulin is appropriate to reduce the extent
and length of symptoms. Mechanical ventilation and tube feedings may be used
later in the progression of the syndrome but are not needed now. Corticosteroid
use is not helpful in reducing the duration or symptoms of the syndrome.
Which intervention will the nurse include in the plan of care for a patient with
moderate dementia who had a fractured hip repair 2 days ago?
A. Provide complete personal hygiene care for the patient.
B. Remind the patient frequently about being in the hospital.
C. Reposition the patient frequently to avoid skin breakdown.
D. Place suction at the bedside to decrease the risk for aspiration. - ANSWER-B.
Remind the patient frequently about being in the hospital.
The patient with moderate dementia will have problems with short- and long-
term memory and will need reminding about the hospitalization. The other
interventions would be used for a patient with severe dementia, who would have
difficulty with swallowing, self-care, and immobility.
2|Page
, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
Which action will the nurse include in the plan of care for a patient who has a
cauda equina spinal cord injury?
A. Catheterize patient every 3 to 4 hours.
B. Assist patient to ambulate 4 times daily.
C. Administer medications to reduce bladder spasm.
D. Stabilize the neck when repositioning the patient. - ANSWER-A. Catheterize
patient every 3 to 4 hours.
Patients with cauda equina syndrome have areflexic bladder, and intermittent
catheterization will be used for emptying the bladder. Because the bladder is
flaccid, antispasmodic medications will not be used. The legs are flaccid with
cauda equina syndrome, and the patient will be unable to ambulate. The head
and neck will not need to be stabilized after a cauda equina injury, which affects
the lumbar and sacral nerve roots.
When administering the Mini-Cog exam to a patient with possible Alzheimer's
disease, which action will the nurse take?
A. Check the patient's orientation to time and date.
B. Obtain a list of the patient's prescribed medications.
C. Ask the person to use a clock drawing to indicate a specific time.
D. Determine the patient's ability to recognize a common object such as a pen. -
ANSWER-C. Ask the person to use a clock drawing to indicate a specific time.
3|Page
, NSG233 EXAM 2 /NSG 233 MED SURG III EXAM 2
In the Mini-Cog, patients illustrate a specific time stated by the examiner by
drawing the time on a clock face. The other actions may be included in
assessment for Alzheimer's disease but are not part of the Mini-Cog exam.
A patient is being evaluated for Alzheimer's disease (AD). The nurse explains to
the patient's adult children that
A. the most important risk factor for AD is a family history of the disorder.
B. a diagnosis of AD is made only after other causes of dementia are ruled out
C. new drugs have been shown to reverse AD deterioration dramatically in some
D. brain atrophy detected by magnetic resonance imaging (MRI) would confirm
the diagnosis of AD. - ANSWER-B. a diagnosis of AD is made only after other
causes of dementia are ruled out.
The diagnosis of AD is usually one of exclusion. Age is the most important risk
factor for development of AD. Drugs may slow the deterioration but do not
reverse the effects of AD. Brain atrophy is a common finding in AD, but it can
occur in other diseases as well and does not confirm a diagnosis of AD.
After endotracheal suctioning, the nurse notes that the intracranial pressure (ICP)
for a patient with a traumatic head injury has increased from 14 to 17 mm Hg.
Which action should the nurse take first?
A. Document the increase in intracranial pressure.
B. Ensure that the patient's neck is in neutral position.
C. Notify the health care provider about the change in pressure.
4|Page
