NU216 Medical Surgical Nursing II Baton Rouge General School of Nursing
Access The Exact Questions for NU216 Medical Surgical Nursing II Baton Rouge General School of Nursing
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for NU216 Medical Surgical Nursing II Baton Rouge General School of Nursing on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Ace Your Test with NU216 Medical Surgical Nursing II Baton Rouge General School of Nursing Actual Questions and Solutions - Full Set
Free NU216 Medical Surgical Nursing II Baton Rouge General School of Nursing Questions
1.
After the IV catheter has been inserted through the patient’s skin and into the vein, what would the nurse do next?
- A. Flush the cannula with normal saline.
- B. Advance the cannula until the hub rests at the insertion site.
- C. Look for blood return in the flash-back chamber.
- D. Stabilize the cannula and release the tourniquet.
Explanation
Explanation
Once the IV catheter has been inserted through the skin and into the vein, the nurse must confirm correct placement by checking for blood return in the flash-back chamber. This confirms that the catheter tip is in the vein. Only after this verification can the nurse proceed with advancing the cannula, stabilizing it, releasing the tourniquet, and flushing with saline.Correct Answer Is:
C. Look for blood return in the flash-back chamber.Why the other options are incorrect:
A. Flush the cannula with normal salineFlushing comes much later, after proper placement has been confirmed and the cannula is secured. Doing this first could risk infiltration if the catheter is not in the vein.
B. Advance the cannula until the hub rests at the insertion site
Advancement is only done after blood return is seen in the flash-back chamber, ensuring the vein is entered. Advancing prematurely may push the catheter through the vessel wall.
D. Stabilize the cannula and release the tourniquet
This step is important, but it comes after blood return has been confirmed and the catheter advanced properly.
2.
Prescribed: Infuse 250 mL 10% Intralipids over 6 hours
How many mL/hr will the nurse set the infusion pump? Round and record the answer to the tenth.
- 180.5 mL/hr
- 41.5 mL/hr
- 50.0 mL/hr
- 60.2 mL/hr
Explanation
Explanation
Step-by-Step Calculation:Formula:
Rate (mL/hr) = Total Volume (mL) ÷ Time (hr)
Substitute the values:
Rate = 250 mL ÷ 6 hr
Rate = 41.666… mL/hr
Rounded to the tenth:
41.7 mL/hr
Correct Answer Is:
41.7 mL/hrWhy the other options are incorrect:
180.5 mL/hrThis would complete the infusion in less than 2 hours, which would exceed the ordered infusion time and risk complications from giving lipids too quickly.
50.0 mL/hr
At this rate, the infusion would finish in 5 hours, which is faster than prescribed and could cause metabolic overload.
60.2 mL/hr
At 60.2 mL/hr, the infusion would be completed in about 4 hours, which is still incorrect and faster than the ordered 6-hour period.
3.
The nurse is caring for a patient admitted with pneumonia. Which signs and symptoms indicate early inadequate oxygenation?
- A. Increased heart rate and headache
- B. Apprehension and restlessness
- C. Cyanosis and cool, clammy skin
- D. Dyspnea and hypotension
Explanation
Explanation
Early signs of inadequate oxygenation are neurological changes caused by decreased oxygen delivery to the brain. These include restlessness, apprehension, irritability, and confusion. They occur before more obvious late signs such as cyanosis or hypotension. Recognizing these early indicators is critical for timely intervention.Correct Answer Is:
B. Apprehension and restlessnessWhy the other options are incorrect:
A. Increased heart rate and headacheTachycardia can be an early sign of hypoxemia, but headache is usually a later manifestation, not an early indicator of oxygen deprivation.
C. Cyanosis and cool, clammy skin
These are late signs of hypoxemia and poor perfusion, indicating severe oxygen deficit.
D. Dyspnea and hypotension
Although both may occur, they are later manifestations of inadequate oxygenation and impaired perfusion, not the earliest indicators.
4.
The nurse will be starting a new intravenous infusion and needs to select the site for the insertion. In selection of a site, the nurse should adhere to which principle?
- Use the dominant arm
- Look for hard, cordlike veins
- Start with the most distal site
- No restrictions on an extremity with a dialysis graft
Explanation
Explanation
The principle of IV therapy is to begin with the most distal site, such as the veins in the hand, and progress proximally if needed. This approach preserves proximal sites for future use in case the distal site becomes unusable. It also helps protect the larger, more accessible veins for long-term therapy and avoids unnecessary complications.Correct Answer Is:
Start with the most distal siteWhy the other options are incorrect:
Use the dominant armThis is incorrect because using the dominant arm for IV access can interfere with the patient’s mobility and daily activities. Nurses should prioritize the non-dominant arm whenever possible to minimize discomfort and disruption.
Look for hard, cordlike veins
This is incorrect because hard, cordlike veins may indicate thrombosed or sclerosed veins, which are unsuitable for IV insertion. Using such veins increases the risk of infiltration, phlebitis, and ineffective infusion. Healthy, soft, and palpable veins are preferred.
No restrictions on an extremity with a dialysis graft
This is incorrect because an extremity with a dialysis graft or fistula should never be used for IV access. Inserting an IV in these sites increases the risk of infection, clot formation, and loss of vascular access critical for dialysis patients.
5.
The nurse is caring for a patient with anemia. The patient’s current lab values are: Hemoglobin (Hgb) 8.6 g/dL and Hematocrit (HCT) 26%. Which priority nursing problem would be appropriate to include in the plan of care?
- Ineffective self-health management
- Imbalanced nutrition
- Fatigue
- Risk for bleeding
Explanation
Explanation
Anemia results in decreased oxygen-carrying capacity of the blood due to low hemoglobin and hematocrit levels. This leads to tissue hypoxia, which most commonly manifests as fatigue and decreased activity tolerance. Addressing fatigue as a priority nursing problem ensures the patient receives interventions aimed at conserving energy, promoting rest, and improving quality of life. Managing fatigue also helps reduce the risk of complications and supports the patient’s ability to engage in self-care and recovery.Correct Answer Is:
FatigueWhy the other options are incorrect:
Ineffective self-health managementThis is incorrect because while some patients may struggle with long-term self-management, the immediate and most pressing issue in this scenario is not related to self-health management. The patient’s low hemoglobin and hematocrit indicate impaired oxygen delivery, making fatigue the priority concern. Addressing self-health management may be part of long-term planning but not the immediate priority.
Imbalanced nutrition
This is incorrect because imbalanced nutrition can certainly contribute to anemia, particularly in cases of iron, vitamin B12, or folate deficiencies. However, the priority nursing problem must reflect the patient’s current clinical state. With hemoglobin at 8.6 g/dL and hematocrit at 26%, fatigue from oxygen deficit is the most urgent problem to address before nutritional interventions.
Risk for bleeding
This is incorrect because anemia does not inherently mean the patient is at risk for bleeding unless another condition, such as thrombocytopenia or anticoagulant therapy, is present. The patient’s primary concern here is reduced red blood cell count and oxygen transport, not clotting abnormalities. Therefore, risk for bleeding is not an appropriate or priority nursing diagnosis in this case.
6.
The nurse is providing teaching for a patient diagnosed with uric acid renal calculi. Which medication is prescribed to prevent the formation of uric acid stones?
- Allopurinol
- Oxybutynin
- Finasteride
- Tamsulosin
Explanation
Explanation
Allopurinol is prescribed to reduce uric acid levels in the blood and urine by inhibiting xanthine oxidase, the enzyme responsible for uric acid production. Lowering uric acid levels prevents the crystallization that leads to uric acid stone formation. It is the standard therapy for prevention of uric acid calculi and is often combined with hydration and dietary modifications.Correct Answer Is:
AllopurinolWhy the other options are incorrect:
OxybutyninThis is incorrect because oxybutynin is an anticholinergic used to treat overactive bladder. It does not affect uric acid metabolism or prevent renal stone formation. Using this drug would not reduce the risk of uric acid calculi.
Finasteride
This is incorrect because finasteride is used to treat benign prostatic hyperplasia (BPH) and male pattern baldness. It works by inhibiting the conversion of testosterone to dihydrotestosterone, which is unrelated to uric acid production or kidney stones.
Tamsulosin
This is incorrect because tamsulosin is an alpha-adrenergic blocker that relaxes smooth muscle in the bladder neck and prostate. It can aid in the passage of stones but does not prevent their formation. It has no role in lowering uric acid levels.
7.
A nurse is caring for a patient with leukemia. Which nursing intervention is most effective to reduce the spread of harmful pathogens?
- A. Wearing an N-95 respiratory mask when caring for the patient.
- B. Strict and frequent handwashing by all persons having contact with the patient.
- C. Maintaining a strict administration schedule of prophylactic antibiotics.
- D. Creation of a sterile environment and use of a negative pressure room.
Explanation
Explanation
Patients with leukemia are immunocompromised and highly vulnerable to infection. The single most effective nursing intervention to reduce pathogen spread is strict and frequent hand hygiene by anyone who comes in contact with the patient. This is the cornerstone of infection prevention and control.Correct Answer Is:
B. Strict and frequent handwashing by all persons having contact with the patient.Why the other options are incorrect:
A. Wearing an N-95 respiratory mask when caring for the patientThis is required for airborne infections (like TB), but leukemia patients are not typically placed on airborne precautions.
C. Maintaining a strict administration schedule of prophylactic antibiotics
While antibiotics may be prescribed, they do not prevent the introduction of pathogens and are not the most effective infection control method.
D. Creation of a sterile environment and use of a negative pressure room
Negative pressure rooms are used for patients with airborne illnesses to protect others, not to protect immunocompromised patients. Leukemia patients may require protective isolation, but routine sterile environments and negative pressure are not standard.
8.
The nurse is providing patient teaching on a peak flow meter. Which of the following are appropriate uses of a peak flow meter? Select all that apply.
- A. Detect early signs of asthma exacerbation.
- B. Diagnoses pneumonia.
- C. Measures oxygen saturation.
- D. Determines need for emergency interventions.
- E. Evaluates effectiveness of asthma medications.
Explanation
Explanation
A peak flow meter measures peak expiratory flow rate (PEFR), which reflects how well air moves out of the lungs. This tool helps patients with asthma monitor airway narrowing before symptoms appear (early exacerbation detection), decide if urgent intervention is needed, and evaluate how well asthma medications are working.Correct Answer Is:
A. Detect early signs of asthma exacerbation.D. Determines need for emergency interventions.
E. Evaluates effectiveness of asthma medications.
Why the other options are incorrect:
B. Diagnoses pneumoniaA peak flow meter does not diagnose infections such as pneumonia. Diagnosis requires clinical assessment and imaging.
C. Measures oxygen saturation
Oxygen saturation is measured by pulse oximetry, not a peak flow meter.
9.
The nurse is caring for a post carotid endarterectomy patient who has just been brought to the medical-surgical unit. Which of the following should the nurse include on the patient care plan? (Select all that apply.)
- A Assessment of affect and mood
- B Provide range of motion to upper arms
- C Airway assessment
- D Monitor hemoglobin and hematocrit
- E Assessment ability to swallow
Explanation
Explanation
C. Airway assessmentCorrect. Swelling, hematoma, or bleeding at the surgical site can obstruct the airway. Monitoring for stridor, dyspnea, and changes in breathing is a top priority.
D. Monitor hemoglobin and hematocrit
Correct. Carotid endarterectomy poses a risk of hemorrhage. Monitoring H&H helps detect bleeding complications early.
E. Assessment ability to swallow
Correct. Nerve injury or swelling after the procedure may impair swallowing and increase aspiration risk. This assessment is essential to maintain safety.
Correct Answer Is:
C. Airway assessment, D. Monitor hemoglobin and hematocrit, E. Assessment ability to swallowWhy the other options are incorrect:
A. Assessment of affect and moodNot an immediate priority post-op. Neurological checks (level of consciousness, motor strength, speech) are more appropriate than affect or mood at this stage.
B. Provide range of motion to upper arms
This is not a priority immediately after surgery. The focus should be on airway, bleeding, and neurological function. ROM can be addressed later during recovery.
10.
Prescribed: Epoetin alfa 8,000 units SQ three times a week
Available: Epoetin alfa 10,000 units/mL
How many mL will the nurse administer? Round and record the answer to the tenth.
- 0.5 mL
- 0.8 mL
- 1.0 mL
- 1.2 mL
Explanation
Explanation
To determine the volume, divide the prescribed dose by the available concentration.The nurse will draw up 0.8 mL to administer the correct dose.
Correct Answer Is:
0.8 mLWhy the other options are incorrect:
0.5 mLThis is incorrect because 0.5 mL of the solution contains only 5,000 units, which underdoses the patient compared to the prescribed 8,000 units.
1.0 mL
This is incorrect because 1.0 mL contains 10,000 units, which would overdose the patient by 2,000 units.
1.2 mL
This is incorrect because 1.2 mL contains 12,000 units, significantly overdosing the patient and posing risk of harm.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .