MEDSURG 2 FINAL EXAM NEWEST 2025

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MEDSURG 2 FINAL EXAM NEWEST 2025

ACTUAL EXAM COMPLETE 200 QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) |ALREADY GRADED A+

The client with 45% burns has a hematocrit of 52% 10 hours after the burn injury and 6 hours after fluid resuscitation was started. What is the nurse's best action?

• Assess the client's blood pressure and urine output
• Notify the physician or Rapid Response Team
• Document the report as the only action
• Increase the IV infusion rate - ANSWER-A. Assess the

client's blood pressure and urine output

A burned client newly arrived from an accident scene is prescribed 4 mg of morphine sulfate intravenously. What is the most important reason the nurse administers the analgesic to this client by the intravenous (IV) route?

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• The drug will be effective more quickly than if given IM or

subcutaneously

• It is less likely to interfere with the client's breathing and

oxygenation

• The danger of an overdose during fluid remobilization is

reduced

• The client has delayed gastric emptying - ANSWER-C. The

danger of an overdose during fluid remobilization is reduced

The burn client asks the nurse not to remove the loosened bits of skin and tissue during the dressing change, saying "The more skin you take off, the longer it will take me to heal." What is the nurse's best response?

• "Do you want some pain medication before I begin?"
• "The only things I am removing are blocks of bacteria

growth, not skin."

• "Don't worry, I have worked the burn unit for years and know

what I am doing."

• "The tissue is no longer living and as long as it is present,

real healing cannot start." - ANSWER-D. "The tissue is no longer living and as long as it is present, real healing cannot start." 2 / 4

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Which statement made by the client who experienced burns to the head and neck indicates positive adjustment to the injury?

• "I am planning on cutting the grass in the mornings when the

sun isn't as strong."

• "I am working with my family so they can do all of the

chores I used to do."

• " I hope the home care nurse can change my dressings so that

I do not have to look at my wounds."

• "My wife and I have decided to go to movies instead of

baseball games so that people can't see me." - ANSWER-A. "I am planning on cutting the grass in the mornings when the sun isn't as strong."

Why are the manifestations of most types of shock the same regardless of what specific events or condition caused the shock to occur?

• The blood, blood vessels and heart are directly connected to

each other so that when one is affected, all three are affected

• Because blood loss occurs with all types of shock, the most

common first manifestation is hypotension 3 / 4

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• Every type of shock interferes with oxygenation and

metabolism of all cells in the same sequence

• The sympathetic nervous system is triggered by any type of

shock and initiates the stress response - ANSWER-D. The sympathetic nervous system is triggered by any type of shock and initiates the stress response

Which vital sign change in a client with hypovolemic shock indicates to the nurse that the therapy is effective?

• Urine output increases from 5 mL/hr to 25 mL/hr
• Pulse pressure decrease from 35 mm Hg to 28 mm Hg
• Respiratory rate increase from 22 breaths/min to 26

breaths/min

• Core body temperature increase from 98.2 degrees F (36.8

degrees C) to 98.8 degrees F (37.1 degrees C) - ANSWER-A.Urine output increases from 5 mL/hr to 25 mL/hr

Which newly admitted client does the nurse consider to be at highest risk for the development of sepsis?

• 75-year-old man with hypertension and early Alzeimer's

disease

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