NUR 209 EXAM 1 (FORTIS) NEWEST
2026 TEST BANK| NUR209 MEDICAL
SURGICAL NURSING II EXAM
QUESTION 1
The health department is reviewing community health initiatives for the year.
During the summer, the 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
Rationale: During summer months, mosquito-borne illnesses become a significant
public health concern. Using pesticides for mosquito control is a primary infection
control activity because mosquitoes are vectors that can transmit diseases such as
West Nile virus, Zika virus, and encephalitis. Community health departments
prioritize vector control during warmer months when mosquito populations
increase. Immunizations and antibiotics are year-round concerns rather than
summer-specific interventions.
QUESTION 2
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 patient 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
Rationale: Female nurses working on oncology units face increased risks of
adverse reproductive outcomes due to potential exposure to chemotherapeutic
agents and other hazardous drugs. These medications can be teratogenic,
mutagenic, and carcinogenic. Proper handling precautions, including personal
protective equipment and safe handling protocols, are essential to minimize this
occupational hazard. Back injuries (A) are more associated with heavy lifting
across all units. Bloodborne pathogens (B) are a risk in any unit where blood
exposure occurs. Neurologic disorders (D) are not specifically associated with
oncology unit work.
QUESTION 3
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis. Saturated solution of potassium iodide (SSKI) is 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
Rationale: SSKI is frequently administered before a thyroidectomy because it
decreases the vascularity of the thyroid gland. A highly vascular thyroid gland is
friable, presenting a significant hazard during surgery. The preoperative
preparation includes depleting the gland of thyroid hormone and decreasing
vascularity. SSKI does not decrease the progression of exophthalmos (A), nor does
,it decrease the body's ability to store thyroxine (C) or increase the body's ability
to excrete thyroxine (D).
QUESTION 4
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
Rationale: The client needs education about lifelong thyroid hormone
replacement because permanent hypothyroidism is the major complication of RAI
¹³¹I treatment. Lifelong medical follow-up and thyroid replacement therapy are
warranted. The client should monitor for signs and symptoms of hypothyroidism,
not hyperthyroidism (A). Resting for 1 week is not necessary (B). Hypertension
and tachycardia are signs of hyperthyroidism, not hypothyroidism (D).
QUESTION 5
The nurse is teaching a diabetic client using an empowerment approach. The
nurse should initiate teaching by asking which of the following?
A) "How much does your family need to be involved in learning about your
condition?"
B) "What is required for your family to manage your symptoms?"
C) "What activities are most important for you to be able to maintain control of
your diabetes?"
D) "What do you know about your medications and condition?"
Correct Answer: C
Rationale: The empowerment approach focuses on helping patients identify their
own priorities and goals. Asking "What activities are most important for you to be
, able to maintain control of your diabetes?" helps the patient identify what
matters most to them, promoting self-management and patient-centered care.
This approach respects patient autonomy and encourages active participation in
care decisions. The other options are more directive and less focused on patient
empowerment.
QUESTION 6
The nurse is preparing to teach a client with a peptic ulcer about the diet that
should be followed after discharge. The nurse should explain that the client
should eat which of the following?
A) Bland foods.
B) High-protein foods.
C) Any foods that are tolerated.
D) A glass of milk with each meal.
Correct Answer: C
Rationale: Current recommendations for peptic ulcer disease no longer
emphasize restrictive diets. Clients should eat any foods that are tolerated, as
there is no evidence that specific foods cause or worsen ulcers. The key is to avoid
foods that cause individual discomfort. Bland diets (A) are outdated
recommendations. High-protein foods (B) are not specifically indicated. Milk (D)
may actually stimulate gastric acid secretion and is no longer recommended as a
treatment.
QUESTION 7
The nurse finds a client who has been diagnosed with a peptic ulcer surrounded
by papers from a briefcase and arguing on the telephone with a coworker. The
nurse's response to observing these actions should be based on knowledge that:
A) Involvement with the job will keep the client from becoming bored.
B) A relaxed environment will promote ulcer healing.
2026 TEST BANK| NUR209 MEDICAL
SURGICAL NURSING II EXAM
QUESTION 1
The health department is reviewing community health initiatives for the year.
During the summer, the 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
Rationale: During summer months, mosquito-borne illnesses become a significant
public health concern. Using pesticides for mosquito control is a primary infection
control activity because mosquitoes are vectors that can transmit diseases such as
West Nile virus, Zika virus, and encephalitis. Community health departments
prioritize vector control during warmer months when mosquito populations
increase. Immunizations and antibiotics are year-round concerns rather than
summer-specific interventions.
QUESTION 2
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 patient 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
Rationale: Female nurses working on oncology units face increased risks of
adverse reproductive outcomes due to potential exposure to chemotherapeutic
agents and other hazardous drugs. These medications can be teratogenic,
mutagenic, and carcinogenic. Proper handling precautions, including personal
protective equipment and safe handling protocols, are essential to minimize this
occupational hazard. Back injuries (A) are more associated with heavy lifting
across all units. Bloodborne pathogens (B) are a risk in any unit where blood
exposure occurs. Neurologic disorders (D) are not specifically associated with
oncology unit work.
QUESTION 3
A client with a large goiter is scheduled for a subtotal thyroidectomy to treat
thyrotoxicosis. Saturated solution of potassium iodide (SSKI) is 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
Rationale: SSKI is frequently administered before a thyroidectomy because it
decreases the vascularity of the thyroid gland. A highly vascular thyroid gland is
friable, presenting a significant hazard during surgery. The preoperative
preparation includes depleting the gland of thyroid hormone and decreasing
vascularity. SSKI does not decrease the progression of exophthalmos (A), nor does
,it decrease the body's ability to store thyroxine (C) or increase the body's ability
to excrete thyroxine (D).
QUESTION 4
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
Rationale: The client needs education about lifelong thyroid hormone
replacement because permanent hypothyroidism is the major complication of RAI
¹³¹I treatment. Lifelong medical follow-up and thyroid replacement therapy are
warranted. The client should monitor for signs and symptoms of hypothyroidism,
not hyperthyroidism (A). Resting for 1 week is not necessary (B). Hypertension
and tachycardia are signs of hyperthyroidism, not hypothyroidism (D).
QUESTION 5
The nurse is teaching a diabetic client using an empowerment approach. The
nurse should initiate teaching by asking which of the following?
A) "How much does your family need to be involved in learning about your
condition?"
B) "What is required for your family to manage your symptoms?"
C) "What activities are most important for you to be able to maintain control of
your diabetes?"
D) "What do you know about your medications and condition?"
Correct Answer: C
Rationale: The empowerment approach focuses on helping patients identify their
own priorities and goals. Asking "What activities are most important for you to be
, able to maintain control of your diabetes?" helps the patient identify what
matters most to them, promoting self-management and patient-centered care.
This approach respects patient autonomy and encourages active participation in
care decisions. The other options are more directive and less focused on patient
empowerment.
QUESTION 6
The nurse is preparing to teach a client with a peptic ulcer about the diet that
should be followed after discharge. The nurse should explain that the client
should eat which of the following?
A) Bland foods.
B) High-protein foods.
C) Any foods that are tolerated.
D) A glass of milk with each meal.
Correct Answer: C
Rationale: Current recommendations for peptic ulcer disease no longer
emphasize restrictive diets. Clients should eat any foods that are tolerated, as
there is no evidence that specific foods cause or worsen ulcers. The key is to avoid
foods that cause individual discomfort. Bland diets (A) are outdated
recommendations. High-protein foods (B) are not specifically indicated. Milk (D)
may actually stimulate gastric acid secretion and is no longer recommended as a
treatment.
QUESTION 7
The nurse finds a client who has been diagnosed with a peptic ulcer surrounded
by papers from a briefcase and arguing on the telephone with a coworker. The
nurse's response to observing these actions should be based on knowledge that:
A) Involvement with the job will keep the client from becoming bored.
B) A relaxed environment will promote ulcer healing.
