NCLEX Practice Exam for Medical Surgical Nursing 1. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Choose the letter of the correct answer. You got 5. 0 minutes to finish the exam . Good luck! Following surgery, Mario complains of mild incisional pain while performing deep- breathing and coughing exercises. The nurse’s best response would be: “Pain will become less each day.” “This is a normal reaction after surgery.”“With a pillow, apply pressure against the incision.” “I will give you the pain medication the physician ordered.”2. The nurse needs to carefully assess the complaint of pain of the elderly because older peopleare expected to experience chronic painhave a decreased pain thresholdexperience reduced sensory perceptionhave altered mental function. Mary received Atropine. SO4 as a pre- medication 3. PR is higher, than before the medication was administered. The nurse’s best. The patient is having an allergic reaction to the drug. The patient needs a higher dose of this drug. This is normal side- effect of At. SO4. The patient is anxious about upcoming surgery. Ana’s postoperative vital signs are a blood pressure of 8. Hg, a pulse of 1. Effects on Exercise Tolerance, Symptoms, and Coronary Events. Exercise capacity consistently improves after cardiac rehabilitation. After three months of aerobic. Epilepsy is initially treated with medications. It is possible for up to 70% of people to get complete seizure control with minimal side effects. MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing. ![]() Connor, M.Ac., L.Ac. TABLE OF CONTENTS 1. Introduction 2. Setting Standards to Achieve Consistent Herbal. Muscles are responsible for locomotion. The heart is a muscular organ in humans and other animals, which pumps blood through the blood vessels of the circulatory system. Blood provides the body with oxygen. Cardiac arrhythmia; Synonyms: Cardiac dysrhythmia, irregular heartbeat: Ventricular fibrillation (VF) showing disorganized electrical activity producing a spiked. Obesity is common, serious and costly. More than one-third of U.S. Adult Obesity Facts What are the latest statistics on. Suspecting shock, which of the following orders would the nurse question? Put the client in modified Trendelenberg’s position. Administer oxygen at 1. Monitor urine output every hour. Administer Demerol 5. IM q. 4h. 5. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach?“Good evening, Mr. Wasn’t it a pleasant day, today?”“Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.“Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate.” “Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?”6. After surgery, Gina returns from the Post- anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take? Call the physician immediately. Administer the prescribed antiemetic. Check the patency of the nasogastric tube for any obstruction. Change the patient’s position. Perez is in continuous pain from cancer that has metastasized to the bone. Pain medication provides little relief and he refuses to move. The nurse should plan to: Reassure him that the nurses will not hurt him. Let him perform his own activities of daily living. Handle him gently when assisting with required care. Complete A. M. A client returns from the recovery room at 9. AM alert and oriented, with an IV infusing. His pulse is 8. 2, blood pressure is 1. At 1. 0 am and at 1. At noon, however, his pulse rate is 9. What nursing action is most appropriate? Notify his physician. Take his vital signs again in 1. Take his vital signs again in an hour. Place the patient in shock position. A 5. 6 year old construction worker is brought to the hospital unconscious after falling from a 2- story building. When assessing the client, the nurse would be most concerned if the assessment revealed: Reactive pupils. A depressed fontanel Bleeding from ears An elevated temperature. Which of the ff. Braga was ordered Digoxin 0. Which is poor knowledge regarding this drug? It has positive inotropic and negative chronotropic effects. The positive inotropic effect will decrease urine output. Toxixity can occur more easily in the presence of hypokalemia, liver and renal problems. Do not give the drug if the apical rate is less than 6. Valsalva maneuver can result in bradycardia. Which of the following activities will not stimulate Valsalva’s maneuver? Use of stool softeners. Enema administration. Gagging while toothbrushing. Lifting heavy objects. The nurse is teaching the patient regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker? A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?“When your chest pain begins, lie down, and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”“Place one tablet under your tongue. If the pain is not relieved in 1. Continue your activity, and if the pain does not go away in 1. Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved. A client with chronic heart failure has been placed on a diet restricted to 2. The client demonstrates adequate knowledge if behaviors are evident such as not salting food and avoidance of which food? Whole milk. Canned sardines. Plain nuts. Eggs. A student nurse is assigned to a client who has a diagnosis of thrombophlebitis. Which action by this team member is most appropriate? Apply a heating pad to the involved site. Elevate the client’s legs 9. Instruct the client about the need for bed rest. Provide active range- of- motion exercises to both legs at least twice every shift. A client receiving heparin sodium asks the nurse how the drug works. Which of the following points would the nurse include in the explanation to the client? It dissolves existing thrombi. It prevents conversion of factors that are needed in the formation of clots. It inactivates thrombin that forms and dissolves existing thrombi. It interferes with vitamin K absorption. The nurse is conducting an education session for a group of smokers in a “stop smoking” class. Which finding would the nurse state as a common symptom of lung cancer? Which is the most relevant knowledge about oxygen administration to a client with COPD? Oxygen at 1- 2. L/min is given to maintain the hypoxic stimulus for breathing. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath. Oxygen is administered best using a non- rebreathing mask. Blood gases are monitored using a pulse oximeter. When suctioning mucus from a client’s lungs, which nursing action would be least appropriate? Lubricate the catheter tip with sterile saline before insertion. Use sterile technique with a two- gloved approach. Suction until the client indicates to stop or no longer than 2. Hyperoxygenate the client before and after suctioning. Santos prescribes oral rifampin (Rimactane) and isoniazid (INH) for a client with a positive Tuberculin skin test. When informing the client of this decision, the nurse knows that the purpose of this choice of treatment is to. Cause less irritation to the gastrointestinal tract. Destroy resistant organisms and promote proper blood levels of the drugs. Gain a more rapid systemic effect. Delay resistance and increase the tuberculostatic effect. Mario undergoes a left thoracotomy and a partial pneumonectomy. Chest tubes are inserted, and one- bottle water- seal drainage is instituted in the operating room. In the postanesthesia care unit Mario is placed in Fowler’s position on either his rightside or on his back to. Reduce incisional pain. Facilitate ventilation of the left lung. Equalize pressure in the pleural space. Increase venous return. A client with COPD is being prepared for discharge. The following are relevant instructions to the client regarding the use of an oral inhaler EXCEPTBreath in and out as fully as possible before placing the mouthpiece inside the mouth. Inhale slowly through the mouth as the canister is pressed down. Hold his breath for about 1. Slowly breath out through the mouth with pursed lips after inhaling the drug. A client is scheduled for a bronchoscopy. When teaching the client what to expect afterward, the nurse’s highest priority of information would be. Food and fluids will be withheld for at least 2 hours. Warm saline gargles will be done q 2h. Coughing and deep- breathing exercises will be done q. Only ice chips and cold liquids will be allowed initially. The nurse enters the room of a client with chronic obstructive pulmonary disease. The client’s nasal cannula oxygen is running at a rate of 6 L per minute, the skin color is pink, and the respirations are 9 per minute and shallow. What is the nurse’s best initial action? Take heart rate and blood pressure. Call the physician. Lower the oxygen rate. Position the client in a Fowler’s position. The nurse is preparing her plan of care for her patient diagnosed with pneumonia. Which is the most appropriate nursing diagnosis for this patient? Fluid volume deficit. Decreased tissue perfusion. Impaired gas exchange. Risk for infection. A nurse at the weight loss clinic assesses a client who has a large abdomen and a rounded face. Which additional assessment finding would lead the nurse to suspect that the client has Cushing’s syndrome rather than obesity? Which statement by the client indicates understanding of the possible side effects of Prednisone therapy?“I should limit my potassium intake because hyperkalemia is a side- effect of this drug.”“I must take this medicine exactly as my doctor ordered it. I shouldn’t skip doses.”“This medicine will protect me from getting any colds or infection.”“My incision will heal much faster because of this drug.”2. A client, who is suspected of having Pheochromocytoma, complains of sweating, palpitation and headache. Which assessment is essential for the nurse to make first? Pupil reaction. Hand grips. Blood pressure. Blood glucose. The nurse is attending a bridal shower for a friend when another guest, who happens to be a diabetic, starts to tremble and complains of dizziness. The next best action for the nurse to take is to: Encourage the guest to eat some baked macaroni. Call the guest’s personal physician. Offer the guest a cup of coffee. Give the guest a glass of orange juice.
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