MED SURG II FINAL EXAM REVIEW
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
A client is scheduled for abdominal surgery and states that he is afraid of postoperative pain.
The best nursing action is to inform the client - CORRECT-ANSWERSThe medication will be
prescribed for pain relief
An 82-year-old client has a long history of diabetes mellitus and developed diabetic neuropathy
more than 25 years ago. He is without breakthrough pain at this point in time. How would his
pain be classified? - CORRECT-ANSWERSNeuropathic, chronic, and acute
The nurse is assessing a client's pain while the client awaits a cholecystectomy. The client is
tearful, hesitant to move, and grimacing, but rates his pain as a 2 at this time on a 0 to 10 pain
scale. How should the nurse best respond to this assessment finding? - CORRECT-
ANSWERSReinforce teaching about the pain scale number system.
,A client comes to the clinic and informs the nurse that he has a "painful area under his armpit."
The nurse observes a 2-cm raised area that is erythemic and has a white substance inside of it.
What does the nurse suspect the client may be experiencing? - CORRECT-ANSWERSAn
abscess
A client is in the acute care facility for the administration of intravenous (IV) antibiotics to treat
bacterial pneumonia. The client begins to have severe diarrhea 3 days after the IV antibiotics
with abdominal cramping and pain. What does the nurse suspect the client has developed due
to the antibiotic use? - CORRECT-ANSWERSPseudomembranous colitis
During a procedure, a client's temperature begins to rise rapidly. This is likely the result of
which complication? - CORRECT-ANSWERSMalignant hyperthermia
A client is admitted with generalized abdominal pain, nausea, vomiting, and hypotension. The
client has not passed stool in over 1 week and has been in pain for the past 4 days. Which type
of pain would you expect the client to be experiencing? - CORRECT-ANSWERSDeeper somatic
,The nurse is assisting the anesthesiologist with the insertion of an epidural catheter and the
administration of an epidural opioid for pain control. What adverse effect of epidural opioids
should the nurse monitor for? - CORRECT-ANSWERSBradypnea
The nursing instructor is teaching beginning nursing students about infection. Toward the end
of class, the instructor gives the students a scenario of a client with an infection who has
developed fever and diarrhea. What should the student nurse instruct the client to avoid? -
CORRECT-ANSWERSTea and coffee
A nurse is preparing to administer a client's scheduled dose of subcutaneous heparin. To reduce
the risk of needlestick injury, the nurse should perform what action? - CORRECT-
ANSWERSAvoid recapping the needle before disposing of it.
a 2-year-old is brought to the clinic by her mother who tells the nurse her daughter has
diarrhea and the child is complaining of pain in her stomach. The mother says that the little girl
had not eaten anything unusual, consuming homemade chicken strips and carrot sticks the
, evening prior. Which bacterial infection would the nurse suspect this little girl of contracting? -
CORRECT-ANSWERSSalmonella
A nurse is preparing a client for surgery. The assessment is complete, all consents have been
signed, and the client's family is present. Before administering preoperative medications, what is
the nurse's first step? - CORRECT-ANSWERSCheck the client's ID bracelet.
The clinic nurse is doing a preoperative assessment of a client who will be undergoing
outpatient cataract surgery with lens implantation in 1 week. While taking the client's medical
history, the nurse notes that this client has had a kidney transplant 8 years ago and that the
client is taking immunosuppressive drugs. For what is this client at increased risk when having
surgery? - CORRECT-ANSWERSInfection
A nurse is caring for a client 6 hours post surgery and observes that the client voids urine
frequently and in small amounts. This most probably indicates what? - CORRECT-
ANSWERSUrine retention
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
A client is scheduled for abdominal surgery and states that he is afraid of postoperative pain.
The best nursing action is to inform the client - CORRECT-ANSWERSThe medication will be
prescribed for pain relief
An 82-year-old client has a long history of diabetes mellitus and developed diabetic neuropathy
more than 25 years ago. He is without breakthrough pain at this point in time. How would his
pain be classified? - CORRECT-ANSWERSNeuropathic, chronic, and acute
The nurse is assessing a client's pain while the client awaits a cholecystectomy. The client is
tearful, hesitant to move, and grimacing, but rates his pain as a 2 at this time on a 0 to 10 pain
scale. How should the nurse best respond to this assessment finding? - CORRECT-
ANSWERSReinforce teaching about the pain scale number system.
,A client comes to the clinic and informs the nurse that he has a "painful area under his armpit."
The nurse observes a 2-cm raised area that is erythemic and has a white substance inside of it.
What does the nurse suspect the client may be experiencing? - CORRECT-ANSWERSAn
abscess
A client is in the acute care facility for the administration of intravenous (IV) antibiotics to treat
bacterial pneumonia. The client begins to have severe diarrhea 3 days after the IV antibiotics
with abdominal cramping and pain. What does the nurse suspect the client has developed due
to the antibiotic use? - CORRECT-ANSWERSPseudomembranous colitis
During a procedure, a client's temperature begins to rise rapidly. This is likely the result of
which complication? - CORRECT-ANSWERSMalignant hyperthermia
A client is admitted with generalized abdominal pain, nausea, vomiting, and hypotension. The
client has not passed stool in over 1 week and has been in pain for the past 4 days. Which type
of pain would you expect the client to be experiencing? - CORRECT-ANSWERSDeeper somatic
,The nurse is assisting the anesthesiologist with the insertion of an epidural catheter and the
administration of an epidural opioid for pain control. What adverse effect of epidural opioids
should the nurse monitor for? - CORRECT-ANSWERSBradypnea
The nursing instructor is teaching beginning nursing students about infection. Toward the end
of class, the instructor gives the students a scenario of a client with an infection who has
developed fever and diarrhea. What should the student nurse instruct the client to avoid? -
CORRECT-ANSWERSTea and coffee
A nurse is preparing to administer a client's scheduled dose of subcutaneous heparin. To reduce
the risk of needlestick injury, the nurse should perform what action? - CORRECT-
ANSWERSAvoid recapping the needle before disposing of it.
a 2-year-old is brought to the clinic by her mother who tells the nurse her daughter has
diarrhea and the child is complaining of pain in her stomach. The mother says that the little girl
had not eaten anything unusual, consuming homemade chicken strips and carrot sticks the
, evening prior. Which bacterial infection would the nurse suspect this little girl of contracting? -
CORRECT-ANSWERSSalmonella
A nurse is preparing a client for surgery. The assessment is complete, all consents have been
signed, and the client's family is present. Before administering preoperative medications, what is
the nurse's first step? - CORRECT-ANSWERSCheck the client's ID bracelet.
The clinic nurse is doing a preoperative assessment of a client who will be undergoing
outpatient cataract surgery with lens implantation in 1 week. While taking the client's medical
history, the nurse notes that this client has had a kidney transplant 8 years ago and that the
client is taking immunosuppressive drugs. For what is this client at increased risk when having
surgery? - CORRECT-ANSWERSInfection
A nurse is caring for a client 6 hours post surgery and observes that the client voids urine
frequently and in small amounts. This most probably indicates what? - CORRECT-
ANSWERSUrine retention
