NSG 223 MEDSURG II FINAL EXAM 2025
NEWEST ACTUAL EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS
WITH RATIONALES | 2024-2025 A+
GRADE
The nurse is preparing to administer a.m. medications to
clients. Which medication
should the nurse question before administering?
1. Pancreatic enzymes to the client who has finished
breakfast.
2. The pain medication, morphine, to the client who has a
respiratory rate of 20.
3. The loop diuretic to the client who has a serum
potassium level of 3.9 mEq/L.
4. The beta blocker to the client who has an apical pulse
of 68 bpm. Correct Answer 1. Pancreatic enzymes must
be administered with meals to enhance the
digestion of starches and fats in
the gastrointestinal tract.
The client is diagnosed with acute pancreatitis. Which
health-care provider's
admitting order should the nurse question?
1. Bedrest with bathroom privileges.
2. Initiate IV therapy of D5W at 125 mL/hr.
3. Weigh client daily.
,4. Low-fat, low-carbohydrate diet Correct Answer 4. The
client will be NPO, which will
decrease stimulation of the pancreatic
enzymes, resulting in decreased
autodigestion of the pancreas,
therefore decreasing pain.
The nurse is completing discharge teaching to the client
diagnosed with acute
pancreatitis. Which instruction should the nurse discuss
with the client?
1. Instruct the client to decrease alcohol intake.
2. Explain the need to avoid all stress.
3. Discuss the importance of stopping smoking.
4. Teach the correct way to take pancreatic enzymes.
Correct Answer 3. Smoking stimulates the pancreas to
release pancreatic enzymes and should
be stopped.
The male client diagnosed with chronic pancreatitis calls
and reports to the clinic
nurse he has been having a lot of "gas," along with frothy
and very foul-smelling
stools. Which intervention should the nurse implement?
1. Explain this is common for chronic pancreatitis.
2. Ask the client to bring in a stool specimen to the clinic.
3. Arrange an appointment with the HCP for today.
4. Discuss the need to decrease fat in the diet so this
won't happen Correct Answer 3. Steatorrhea (fatty, frothy,
foul-smelling
,stool) is caused by a decrease in pancreatic enzyme
secretion and indicates
impaired digestion and possibly an
increase in the severity of the pancreatitis. The client
should see the HCP.
The nurse is discussing complications of chronic
pancreatitis with a client diagnosed
with the disease. Which complication should the nurse
discuss with the client?
1. Diabetes insipidus.
2. Crohn's disease.
3. Narcotic addiction.
4. Peritonitis. Correct Answer 3. Narcotic addiction is
related to the
frequent, severe pain episodes often
occurring with chronic pancreatitis
which require narcotics for relief
The client is immediate postprocedure endoscopic
retrograde cholangiopancreatogram
(ERCP). Which intervention should the nurse implement?
1. Assess for rectal bleeding.
2. Increase fluid intake.
3. Assess gag reflex.
4. Keep in supine position Correct Answer 3. The gag
reflex will be suppressed as a
result of the local anesthesia applied to
the throat to insert the endoscope into
the esophagus; therefore, the gag reflex
must be assessed prior to allowing the
, client to resume eating or drinking.
The client diagnosed with acute pancreatitis is in pain.
Which position should the
nurse assist the client to assume to help decrease the
pain?
1. Recommend lying in the prone position with legs
extended.
2. Maintain a tripod position over the bedside table.
3. Place in side-lying position with knees flexed.
4. Encourage a supine position with a pillow under the
knees Correct Answer 3. This fetal position decreases
pain
caused by the stretching of the
peritoneum as a result of edema.
The client with an acute exacerbation of chronic
pancreatitis has a nasogastric tube.
Which interventions should the nurse implement? Select
all that apply.
1. Monitor the client's bowel sounds.
2. Monitor the client's food intake.
3. Assess the client's intravenous site.
4. Provide oral and nasal care.
5. Monitor the client's blood glucose Correct Answer 1.
The return of bowel sounds indicates
the return of peristalsis, and the nasogastric suction is
usually discontinued
within 24 to 48 hours thereafter
3. The nurse should assess for signs of
infection or infiltration.
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