MEDSURG201FinalExam Complete

MEDSURG201FinalExam Complete QuestionsandVerifiedAnswersAcademic Year

2025/2026 1 / 3

1Introduction 1.1Course Focus MED SURG 201 focuses on the nursing care of adult patients with acute and chronic medical- surgical conditions. The course covers a wide range of body systems, including cardiovascular, respiratory, endocrine, genitourinary, neurological, and musculoskeletal systems. Emphasis is placed on pathophysiology, clinical manifestations, diagnostic testing, and evidence-based interventions to prepare students for NCLEX-RN and clinical practice.

1.2Exam Format The MED SURG 201 Final Exam consists of NCLEX-style multiple-choice questions designed to assess students knowledge and critical thinking skills. Each question includes four answer options, testing clinical judgment, prioritization, and application of nursing concepts across various medical-surgical scenarios.2Final Exam Questions and Answers Below are 75 NCLEX-style multiple-choice questions reflecting the content of the MED SURG 201 Final Exam. Each question includes four answer options (AD), with the correct answer in boldand a brief rationale explaining why it is correct. Questions are labeled by body system or topic where applicable.

2.1Question 1 (Cardiovascular) A nurse is assessing a client with chest pain. Which finding suggests acute myocardial infarc- tion?

• Pain relieved by rest

B.Pain radiating to the left arm

• Pain triggered by eating
• Pain lasting less than 5 minutes

Rationale: Pain radiating to the left arm is a classic symptom of myocardial infarction, often accompanied by pressure or tightness.

2.2Question 2 (Cardiovascular) A client with heart failure is prescribed furosemide. Which laboratory value should the nurse monitor?

• Hemoglobin

B.Potassium

• Blood glucose
• Platelet count

Rationale: Furosemide, a loop diuretic, can cause hypokalemia, requiring close monitoring of potassium levels.

2.3Question 3 (Cardiovascular) A nurse is caring for a client post-coronary artery bypass graft (CABG). Which finding requires immediate intervention?MED SURG 201 | Final Exam | 2025/2026 | Page 1 of 18 2 / 3

• Blood pressure of 130/80 mmHg

B.Chest tube output of 200 mL in 1 hour

• Heart rate of 88 bpm
• Temperature of 99ˇrF

Rationale: Excessive chest tube output (over 100150 mL/hr) may indicate hemorrhage, requir- ing urgent intervention.

2.4Question 4 (Cardiovascular) A client with atrial fibrillation is prescribed warfarin. Which instruction should the nurse pro- vide?

• Eat a diet high in green leafy vegetables.

B.Monitor for signs of bleeding.

• Take the medication with milk.
• Discontinue if bruising occurs.

Rationale: Warfarin increases bleeding risk, so clients should monitor for bleeding and report it immediately.

2.5Question 5 (Cardiovascular) A nurse is preparing to administer nitroglycerin to a client with angina. Which action is most appropriate?

• Administer while the client is lying flat.

B.Instruct the client to sit or lie down.

• Give the dose with a full meal.
• Administer regardless of blood pressure.

Rationale: Nitroglycerin can cause hypotension, sitting or lying down prevents falls due to dizziness.

2.6Question 6 (Respiratory) A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen at 2 L/min.Which finding indicates effective therapy?

• Respiratory rate of 32 breaths/min

B.Oxygen saturation of 94%

• Cyanosis of the fingertips
• Increased wheezing

Rationale: An oxygen saturation of 94% indicates adequate oxygenation in a client with COPD.

2.7Question 7 (Respiratory) A nurse is caring for a client with a chest tube. Continuous bubbling in the water seal chamber

suggests:

• Normal function

B.An air leak

• Adequate suction
• Tube occlusion

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