NUR 242 MED SURG FINAL EXAM NEWEST 2025

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NUR 242 MED SURG FINAL EXAM NEWEST 2025

ACTUAL EXAM COMPLETE 100 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+ ||BRAND NEW

VERSION!!

What must the nurse do to collect a midstream urine specimen from an infant?a. Apply a sterile plastic collection bag to the perineum

• Wring out diapers and collect urine in a specimen container
• Have infant sit facing the back of the toilet
• Catheterize the infant and collect the urine using sterile

procedure

ANS: A

Use a sterile plastic urine collecting bag that adheres to the perineum of a non-toilet-trained child. Special considerations for

boys: Place penis and scrotum inside the bag. Diapers may be

contaminated. Seating on a toilet is generally not realistic for an infant. Catheterization should be used as a last resort only.

The patient is scheduled for surgery later in the afternoon. He is scheduled to have PCA therapy after surgery. The nurse 1 / 4

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should:a. Teach the patient about PCA therapy after the patient

comes out of recovery

• Teach the patient about PCA therapy before surgery and

before preoperative medication administration

• Tell the patient not to use the PCA unless he can no longer

tolerate pain

• Inform the patient's family to watch him carefully and to

depress the PCA administration button whenever they think he needs it

ANS:B

You want to teach them before surgery They should be doing PCA regardless Family cannot decide for him/her

The patient voices concern to the nurse regarding his PCA pump. He states that he is afraid of getting an overdose if he pushes the button too many times. The nurse reassures the

patient stating that: (select all that apply)a. There is a time delay

(lockout) between patient doses

• The pump is programmed with a specific limit to the total

amount of drug that can be received, which is ordered by the physician

• The patient has the right to be concerned and needs to be

careful 2 / 4

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• The patient could be put on a continuous infusion instead,

because it is safer

ANS: A,B

There are safety measures to ensure he does not It is not safer to be put on continuous

The CDC (2011) recommends that IV administration tubing which is continuously used, including secondary sets and add-on devices, for patients NOT receiving blood, blood products or fat emulsions, are changed no more frequently than at ______ hour intervals to reduce IV fluid contamination and prevent catheter site complications.a. 24

• 48
• 84
• 96

ANS:96

While assessing the patient's IV infusion, the nurse notes that it is infusing slower than it should be. What should the nurse do first?a. Discontinue the IV

• Increase the rate of the infusion
• Observe for fluid overload
• Check the position of the IV fluid and extremity 3 / 4

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ANS:D

You could maybe fix the problem before stopping IV This could give him too much at once when the IV rate goes back to normal Need to check site

The nurse is preparing to start an infusion of ciprofloxacin to run as a piggyback infusion. For the system to run properly, the

nurse must: (Select all that apply)a. Hang the bag lower than the

primary infusion

• Hand the bag higher than the primary infusion
• Plug the piggyback into the lowest port on the primary bag's

tubing

• Connect the bag to the upper Y-port of a primary infusion line

ANS:B,D

The patient is brought to the emergency room following a motor vehicle accident and has lost a large volume of blood. The patient's blood type is AB. Which type of blood may this patient safely receive in a transfusion?a. Can receive only type AB

• Can receive only type O blood
• Can receive all blood types
• Can receive only type A blood
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