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NUR 209 Exam 3 V3 – Medical Surgical Nursing II (Fortis) – Latest 2025–2026 Update with Verified Questions, Answers, and Rationales

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This document provides the complete Exam 3 V3 material for NUR 209 (Medical Surgical Nursing II) from Fortis, including updated 2025–2026 questions, verified correct answers, and detailed rationales. It covers essential med-surg topics such as cardiovascular, respiratory, endocrine, renal, neurological, and perioperative nursing care. The explanations support deep understanding and reinforce key concepts for high exam performance.

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NUR209/ NUR 209 Exam 3 V3 with Rationales
(Latest 2025/ 2026 Update) Medical Surgical
Nursing II| Questions and Verified Answers|
100% Correct| Grade A – Fortis
What independent nursing intervention can be implemented to stimulate appetite?


Administer prescribed medications.


Recommend dietary supplements.


Encourage or provide oral care.


Assess manifestations of malnutrition.
Encourage or provide oral care.




Explanation:
There are many methods of stimulating appetite in a client to prevent malnutrition.
One independent nursing intervention that is useful is to encourage or provide oral
care. Administering medications and recommending dietary supplements are useful
but are not independent nursing actions. The health care provider would need to
prescribe the medications. Assessing manifestations of malnutrition occurs after
malnutrition is recognized.

, NUR209/ NUR 209 Exam 3 V3 with Rationales
(Latest 2025/ 2026 Update) Medical Surgical
Nursing II| Questions and Verified Answers|
100% Correct| Grade A – Fortis
A nurse is caring for a client with a history of cardiac and vascular disease. Which
fats should the nurse allow in the client's diet for his condition?


unsaturated fats


trans fats


saturated fats


hydrogenated fats
unsaturated fats


Explanation:
Unsaturated fat is a healthier form of fat than saturated fat, because it contains less
hydrogen, and therefore can be included in the client's diet. Saturated fats are lipids
that contain as much hydrogen as their molecular structure can hold and are
generally solid. Most saturated fats are found in animal sources, such as the
marbled fat in meat. Saturated fats are responsible for cardiac and vascular
diseases. Trans fats are unsaturated fats that have been hydrogenated, a process in
which hydrogen is added to the fat. Consumption of trans fats, saturated fats, and
hydrogenated fats increases the risk of coronary heart disease.

, NUR209/ NUR 209 Exam 3 V3 with Rationales
(Latest 2025/ 2026 Update) Medical Surgical
Nursing II| Questions and Verified Answers|
100% Correct| Grade A – Fortis

A nurse is assessing the volume of liquid nutrition that has been tube-fed to a
client. What will happen if the volume of feeding exceeds the client's physiologic
capacity?


diarrhea
pallor
obesity
gastric reflux
gastric reflux


Explanation:
Overfilling the client's stomach can cause gastric reflux, regurgitation, vomiting,
aspiration, and pneumonia. Exceeding the volume of feeding beyond a client's
physiologic capacity does not lead to diarrhea, pallor, or obesity. As a rule of
thumb, the gastric residual should be no more than 100 mL or no more than 20% of
the previous hour's tube-feeding volume.

, NUR209/ NUR 209 Exam 3 V3 with Rationales
(Latest 2025/ 2026 Update) Medical Surgical
Nursing II| Questions and Verified Answers|
100% Correct| Grade A – Fortis
A nurse has just received a client's laboratory results and is reviewing them. Which
finding should the nurse recognize as an indication of malnutrition or
malabsorption?


Serum albumin 2.8 g/dL (28 g/L)
Hemoglobin (Hgb) 11.3 g/dL (113 g/L)
Creatinine 1.9 mg/dL (168 µmol/L)
Hematocrit (Hct) 56% (0.56)
Serum albumin 2.8 g/dL (28 g/L)


Explanation:
Normal serum albumin is 3.3 to 5 g/dL (33 to 50 g/L). Decreased albumin indicates
malnutrition or malabsorption. Decreased Hgb indicates anemia. Increased
creatinine indicates dehydration. Increased Hct indicates dehydration.




A nutritionist helps to plan a diet for a client with diabetes. Which food is a
carbohydrate that should be included to help improve glucose tolerance?


Milk
Eggs

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