MED SURG NCLEX 1/4 QUESTIONS
WITH VERIFIED ANSWERS [GRADED
A+]
A 77-year-old female client is admitted to the hospital. She is confused, has
no appetite, is nauseated and vomiting, and is complaining of a headache.
Her pulse rate is 43 beats per minute. Which question is a priority for the
nurse to ask this client or her family on admission? "Does the client
have her own teeth or dentures?"
take aspirin and if so, how much?"
take nitroglycerin?"
take digitalis?" - ✔✔take digitalis?"
Elderly persons are particularly susceptible to digitalis intoxication (D)
which manifests itself in such symptoms as anorexia, nausea, vomiting,
diarrhea, headache, and fatigue. Although it is important to obtain a
complete medication history (B and C), the symptoms described are classic
©morren2026/2027.Year published 2026.
,for digitalis toxicity, and assessment of this problem should be made
promptly. (A) is irrelevant.
The nurse is completing an admission interview and assessment on a client
with a history of Parkinson's disease. Which question should provide
information relevant to the client's plan of care?
Have you ever experienced any paralysis of your arms or legs?
Have you ever sustained a severe head injury?
Have you ever been 'frozen' in one spot, unable to move?
Do you have headaches, especially ones with throbbing pain? - ✔✔Have
you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating,
maintaining, and performing motor activities. They may even experience
being rooted to the spot and unable to move (C). Parkinson's disease does
not cause (A). Parkinson's disease is not usually associated with (B), nor
does it typically cause (D).
©morren2026/2027.Year published 2026.
, A client who has heart failure is admitted with a serum potassium level of
2.9 mEq/L. Which action is most important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Arrange a consultation with the
dietician.
Teach about the side effects of diuretics. - ✔✔Initiate continuous cardiac
monitoring.
.
Which intervention should the nurse implement for a female client
diagnosed with pelvic relaxation disorder?
Describe proper administration of vaginal suppositories and cream.
Encourage the client to perform Kegel exercises 10 times daily. Explain
the importance of using condoms when having sexual intercourse.
Discuss the importance of keeping a diary of daily temperature and
menstrual cycle events. - ✔✔Encourage the client to perform Kegel
exercises 10 times daily.
©morren2026/2027.Year published 2026.
WITH VERIFIED ANSWERS [GRADED
A+]
A 77-year-old female client is admitted to the hospital. She is confused, has
no appetite, is nauseated and vomiting, and is complaining of a headache.
Her pulse rate is 43 beats per minute. Which question is a priority for the
nurse to ask this client or her family on admission? "Does the client
have her own teeth or dentures?"
take aspirin and if so, how much?"
take nitroglycerin?"
take digitalis?" - ✔✔take digitalis?"
Elderly persons are particularly susceptible to digitalis intoxication (D)
which manifests itself in such symptoms as anorexia, nausea, vomiting,
diarrhea, headache, and fatigue. Although it is important to obtain a
complete medication history (B and C), the symptoms described are classic
©morren2026/2027.Year published 2026.
,for digitalis toxicity, and assessment of this problem should be made
promptly. (A) is irrelevant.
The nurse is completing an admission interview and assessment on a client
with a history of Parkinson's disease. Which question should provide
information relevant to the client's plan of care?
Have you ever experienced any paralysis of your arms or legs?
Have you ever sustained a severe head injury?
Have you ever been 'frozen' in one spot, unable to move?
Do you have headaches, especially ones with throbbing pain? - ✔✔Have
you ever been 'frozen' in one spot, unable to move?
Clients with Parkinson's disease frequently experience difficulty in initiating,
maintaining, and performing motor activities. They may even experience
being rooted to the spot and unable to move (C). Parkinson's disease does
not cause (A). Parkinson's disease is not usually associated with (B), nor
does it typically cause (D).
©morren2026/2027.Year published 2026.
, A client who has heart failure is admitted with a serum potassium level of
2.9 mEq/L. Which action is most important for the nurse to implement?
Give 20 mEq of potassium chloride.
Initiate continuous cardiac monitoring. Arrange a consultation with the
dietician.
Teach about the side effects of diuretics. - ✔✔Initiate continuous cardiac
monitoring.
.
Which intervention should the nurse implement for a female client
diagnosed with pelvic relaxation disorder?
Describe proper administration of vaginal suppositories and cream.
Encourage the client to perform Kegel exercises 10 times daily. Explain
the importance of using condoms when having sexual intercourse.
Discuss the importance of keeping a diary of daily temperature and
menstrual cycle events. - ✔✔Encourage the client to perform Kegel
exercises 10 times daily.
©morren2026/2027.Year published 2026.
