MED SURG II EXAM WITH 100%
CORRECT ANSWERS 2025/2026
A nurse is caring for a client who is learning how to take care of a
newly created colostomy. When observing a return demonstration
of the colostomy irrigation, the nurse evaluates that more
teaching is required when the client: correct answers >>
Hangs the irrigation bag on the door clothes hook during fluid
insertion
Following surgery, a client asks the nurse if he or she can help
measure intake and output. What is the best nursing response?
correct answers >> Assess the client's ability to measure the
intake and output
A client with cancer of the pancreas has a
pancreaticoduodenectomy (Whipple procedure). The nurse
expects that the client will have which tube after surgery?
correct answers >> Nasogastric
A nurse is assessing a client with a diagnosis of early left
ventricular heart failure. Specific to this type of heart failure, the
nurse expects the client to state: correct answers >> "I have
trouble breathing when I walk rapidly."
A client with a spontaneous pneumothorax asks, "Why did they
put this tube into my chest?" The nurse explains that the purpose
,of the chest tube is to: correct answers >> Remove air from
the pleural space
Following surgery in the inguinal area, the client complains of pain
on the right side of the chest, becomes dyspneic, and begins to
cough violently. The nurse suspects that a pulmonary embolus
has occurred. What is the priority nursing action? correct
answers >> Elevate the head of the bed
As an acute episode of rheumatoid arthritis subsides, active and
passive range-of-motion exercises are taught to the client's
spouse. The nurse should teach that direct pressure should not be
applied to the client's joints because this may precipitate:
correct answers >> Pain
A client is admitted to the hospital with the diagnosis of cancer of
the thyroid and a thyroidectomy is scheduled. What is important
for the nurse to consider when caring for this client during the
postoperative period? correct answers >> Hoarseness and
airway obstruction may result from laryngeal nerve damage.
A client is scheduled to have a cardiac catheterization via the
femoral approach. The nurse teaches the client about post-
procedure interventions that protect the catheter insertion site.
The nurse instructs the client that the leg used for catheter
insertion will be: correct answers >> Kept extended while on
bed rest
A female client who has recurrent urinary tract infections (UTIs) is
inquiring about the prevention of future UTIs. What information
should the nurse include when teaching the client? (Select all that
, apply.) correct answers >> -Drink 8 to 10 glasses of water
each day
-Urinate immediately after sexual intercourse
A client is diagnosed with Cushing syndrome. Which clinical
manifestation does the nurse expect to increase in a client with
Cushing syndrome? correct answers >> Glucose level
A client with hepatic cirrhosis begins to develop slurred speech,
confusion, drowsiness, and a flapping tremor. With this evidence
of impending hepatic coma, which diet can the nurse expect will
be prescribed for this client? correct answers >> 20 g of
protein, 2000 calories
A nurse concludes that the anemia that accompanies chronic
kidney disease should be treated because it contributes to:
correct answers >> Chronic fatigue
A client is scheduled to receive general anesthesia during an
upcoming surgery. The nurse provides education about common
side effects of general anesthesia. The nurse concludes that the
teaching has been effective when the client states, "Immediately
after surgery I may experience: correct answers >> A sore
throat."
A client has surgery for the creation of burr holes after sustaining
head trauma. An early clinical manifestation of meningeal
irritation for which the nurse assesses the client is: correct
answers >> Kernig's sign