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NUR 209 EXAM 1 (FORTIS) NEWEST 2026 ACTUAL
EXAM TEST BANK| NUR209 MEDICAL SURGICAL
NURSING II EXAM 1 REVIEW WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
The health department is reviewing community health initiatives for the
year. During the summer, health department focuses infection control
activities on which of the following programs?
A) Administering immunizations
B) Administering free antibiotics
C) Using pesticides for mosquitoes
D) Delivering fans to elderly residents - Correct Answer - C
The facility risk management team is preparing an Inservice to nursing
staff members. The presentation will highlight risk factor increase
related directly to the type of patentee on a nursing unit. The presenter
will correctly explain that which of the following risks is increased for
female nurses who work on an oncology care unit?
A) Back injuries
B) Bloodborne pathogens
C) Adverse reproduction
D) Neurologic disorders - Correct Answer - C
A client with a large goiter is scheduled for a subtotal thyroidectomy to
treat thyrotoxicosis. Saturated solution of potassium iodide (SSKI) is
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prescribed preoperatively for the client. The expected outcome of using
this drug is that it helps:
A) Slow progression of exophthalmos.
B) Reduce the vascularity of the thyroid gland.
C) Decrease the body's ability to store thyroxine.
D) Increase the body's ability to excrete thyroxine. - Correct Answer– B)
SSKI is frequently administered before a thyroidectomy because it helps
decrease the vascularity of the thyroid gland. A highly vascular thyroid
gland is very friable, a condition that presents a hazard during surgery.
Preparation of the client for surgery includes depleting the gland of
thyroid hormone and decreasing vascularity.
SSKI does not decrease the progression of exophthalmos, and it does not
decrease the body's ability to store thyroxine or increase the body's
ability to excrete thyroxine.
After treatment with radioactive iodine (RAI) in the form of sodium
iodide 131I, the nurse teaches the client to:
A) Monitor for signs and symptoms of hyperthyroidism.
B) Rest for 1 week to prevent complications of the medication.
C) Take thyroxine replacement for the remainder of the client's life.
D) Assess for hypertension and tachycardia resulting from altered
thyroid activity. - Correct Answer – C)
The client needs to be educated about the need for lifelong thyroid
hormone replacement. Permanent hypothyroidism is the major
complication of RAI 131I treatment. Lifelong medical follow-up and
thyroid replacement are warranted. The client needs to monitor for signs
and symptoms of hypothyroidism, not hyperthyroidism. Resting for 1
week is not necessary. Hypertension and tachycardia are signs of
hyperthyroidism, not hypothyroidism.
pg. 2
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When conducting a health history with a female client with
thyrotoxicosis, the nurse should ask about which of the following
changes in the menstrual cycle?
A) dysmenorrhea
B) metrorrhagia
C) oligomenorrhea
D) menorrhagia - Correct Answer – C) oligomenorrhea
A change in the menstrual interval, diminished menstrual flow
(oligomenorrhea), or even the absence of menstruation (amenorrhea)
may result from the hormonal imbalances of thyrotoxicosis.
Oligomenorrhea in women and decreased libido and impotence in men
are common features of thyrotoxicosis. Dysmenorrhea is painful
menstruation. Metrorrhagia, blood loss between menstrual periods, is a
symptom of hypothyroidism. Menorrhagia, excessive bleeding during
menstrual periods, is a symptom of hypothyroidism.
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to
monitor for signs of which of the following?
A) Internal hemorrhage.
B) Decreasing level of consciousness.
C) Laryngeal nerve damage.
D) Upper airway obstruction. - Correct Answer – C)
Laryngeal nerve damage is a potential complication of thyroid surgery
because of the proximity of the thyroid gland to the recurrent laryngeal
nerve. Asking the client to speak helps assess for signs of laryngeal
nerve damage. Persistent or worsening hoarseness and weak voice are
signs of laryngeal nerve damage and should be reported to the physician
immediately. Internal hemorrhage is detected by changes in vital signs.
The client's level of consciousness can be partially assessed by asking
pg. 3
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her to speak, but that is not the primary reason for doing so in this
situation. Upper airway obstruction is detected by color and respiratory
rate and pattern.
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain
and keep at the bedside equipment to:
A) Begin total parenteral nutrition.
B) Start a cutdown infusion.
C) Administer tube feedings.
D) Perform a tracheotomy. - Correct Answer – D) Perform a
tracheotomy
The nurse instructs the family of an elderly patient with a visual
impairment and decreased mobility that the most common problem for
these patients is related to which of the following?
A) Electrical cords
B) Medication errors
C) Falls
D) Aspiration - Correct Answer – C) Falls
A patient has an inguinal hernia repair and later develops a methicillin-
resistant Staphylococcus aureus infection. What is the most important
factor to prevent this infection?
A) Surgical asepsis
B) Increased T cells
C) Decreased antibiotics
pg. 4
NUR 209 EXAM 1 (FORTIS) NEWEST 2026 ACTUAL
EXAM TEST BANK| NUR209 MEDICAL SURGICAL
NURSING II EXAM 1 REVIEW WITH COMPLETE
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
The health department is reviewing community health initiatives for the
year. During the summer, health department focuses infection control
activities on which of the following programs?
A) Administering immunizations
B) Administering free antibiotics
C) Using pesticides for mosquitoes
D) Delivering fans to elderly residents - Correct Answer - C
The facility risk management team is preparing an Inservice to nursing
staff members. The presentation will highlight risk factor increase
related directly to the type of patentee on a nursing unit. The presenter
will correctly explain that which of the following risks is increased for
female nurses who work on an oncology care unit?
A) Back injuries
B) Bloodborne pathogens
C) Adverse reproduction
D) Neurologic disorders - Correct Answer - C
A client with a large goiter is scheduled for a subtotal thyroidectomy to
treat thyrotoxicosis. Saturated solution of potassium iodide (SSKI) is
pg. 1
,2|Page
prescribed preoperatively for the client. The expected outcome of using
this drug is that it helps:
A) Slow progression of exophthalmos.
B) Reduce the vascularity of the thyroid gland.
C) Decrease the body's ability to store thyroxine.
D) Increase the body's ability to excrete thyroxine. - Correct Answer– B)
SSKI is frequently administered before a thyroidectomy because it helps
decrease the vascularity of the thyroid gland. A highly vascular thyroid
gland is very friable, a condition that presents a hazard during surgery.
Preparation of the client for surgery includes depleting the gland of
thyroid hormone and decreasing vascularity.
SSKI does not decrease the progression of exophthalmos, and it does not
decrease the body's ability to store thyroxine or increase the body's
ability to excrete thyroxine.
After treatment with radioactive iodine (RAI) in the form of sodium
iodide 131I, the nurse teaches the client to:
A) Monitor for signs and symptoms of hyperthyroidism.
B) Rest for 1 week to prevent complications of the medication.
C) Take thyroxine replacement for the remainder of the client's life.
D) Assess for hypertension and tachycardia resulting from altered
thyroid activity. - Correct Answer – C)
The client needs to be educated about the need for lifelong thyroid
hormone replacement. Permanent hypothyroidism is the major
complication of RAI 131I treatment. Lifelong medical follow-up and
thyroid replacement are warranted. The client needs to monitor for signs
and symptoms of hypothyroidism, not hyperthyroidism. Resting for 1
week is not necessary. Hypertension and tachycardia are signs of
hyperthyroidism, not hypothyroidism.
pg. 2
,3|Page
When conducting a health history with a female client with
thyrotoxicosis, the nurse should ask about which of the following
changes in the menstrual cycle?
A) dysmenorrhea
B) metrorrhagia
C) oligomenorrhea
D) menorrhagia - Correct Answer – C) oligomenorrhea
A change in the menstrual interval, diminished menstrual flow
(oligomenorrhea), or even the absence of menstruation (amenorrhea)
may result from the hormonal imbalances of thyrotoxicosis.
Oligomenorrhea in women and decreased libido and impotence in men
are common features of thyrotoxicosis. Dysmenorrhea is painful
menstruation. Metrorrhagia, blood loss between menstrual periods, is a
symptom of hypothyroidism. Menorrhagia, excessive bleeding during
menstrual periods, is a symptom of hypothyroidism.
Following a subtotal thyroidectomy, the nurse asks the client to speak
immediately upon regaining consciousness. The nurse does this to
monitor for signs of which of the following?
A) Internal hemorrhage.
B) Decreasing level of consciousness.
C) Laryngeal nerve damage.
D) Upper airway obstruction. - Correct Answer – C)
Laryngeal nerve damage is a potential complication of thyroid surgery
because of the proximity of the thyroid gland to the recurrent laryngeal
nerve. Asking the client to speak helps assess for signs of laryngeal
nerve damage. Persistent or worsening hoarseness and weak voice are
signs of laryngeal nerve damage and should be reported to the physician
immediately. Internal hemorrhage is detected by changes in vital signs.
The client's level of consciousness can be partially assessed by asking
pg. 3
, 4|Page
her to speak, but that is not the primary reason for doing so in this
situation. Upper airway obstruction is detected by color and respiratory
rate and pattern.
A client who has undergone a subtotal thyroidectomy is subject to
complications in the first 48 hours after surgery. The nurse should obtain
and keep at the bedside equipment to:
A) Begin total parenteral nutrition.
B) Start a cutdown infusion.
C) Administer tube feedings.
D) Perform a tracheotomy. - Correct Answer – D) Perform a
tracheotomy
The nurse instructs the family of an elderly patient with a visual
impairment and decreased mobility that the most common problem for
these patients is related to which of the following?
A) Electrical cords
B) Medication errors
C) Falls
D) Aspiration - Correct Answer – C) Falls
A patient has an inguinal hernia repair and later develops a methicillin-
resistant Staphylococcus aureus infection. What is the most important
factor to prevent this infection?
A) Surgical asepsis
B) Increased T cells
C) Decreased antibiotics
pg. 4
