NUR 120 (Med/Surg - Test 3) NCLEX STYLE PRACTICE Questions
with Correct Answers (Grade A+)
Question 1: A client is diagnosed with breast cancer after a positive breast biopsy. The client refuses to
believe the diagnosis and says, "I do not have the C-disease." When planning nursing interventions,
which is an INITIAL short-term goal?
A) The client will say the word "cancer"
B) The client will admit to having cancer
C) The client will attend a cancer support group
D) The client will sign an advance directive
Answer: A (The client will say the word "cancer")
Question 2: The nurse provides care for a patient with Addison disease. How would the nurse expect
the client's skin to appear?
A) Ruddy and oily
B) Puffy
C) Abnormally dark and pigmented
D) Pale, dry, and scaly
Answer: C (Abnormally dark and pigmented)
Question 3: The nurse provides care for a client diagnosed with pernicious anemia. Which treatment
does the nurse expect to be prescribed?
A) Oral administration of vitamin B12 supplements daily
B) Oral administration of ferrous gluconate 325mg 3 times daily
C) Oral administration of 1mg folic acid daily
D) Parenteral administration of vitamin B12 once a month
Answer: D (Parenteral administration of vitamin B12 once a month)
Question 4: A client has undergone a thyroidectomy. The nurse is conducting a post operative
assessment. Which procedure must the nurse perform to assess for bleeding for this client?
A) Remove the dressing and observe the incision every 15 minutes for one hour
B) Reinforce the existing pressure dressing as needed
C) Check the dressing and the back of the client's neck
D) Change the surgical dressing within two hours of the surgery to assess for hematoma formation
Answer: C (Check the dressing and the back of the client's neck)
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,Question 5: The nurse in the outpatient clinic provides care for a client with the diagnosis of Cushing
disease. The nurse expects to observe which symptoms?
A) Weight loss
B) Thin legs and arms
C) Hypoglycemia
D) Hypotension
Answer: B (Thin legs and arms)
Question 6: In which age group is diabetes mellitus type 2 MOST likely to occur?
A) Children
B) Adolescents
C) Older Adults
D) Adults
Answer: D (Adults)
Question 7: The nurse provides care for a client diagnosed with a severe head injury. The client's urine
output is 150 mL/hour, blood pressure 92/68 mm/Hg, and increased serum osmolality is present. The
nurse suspects the client has which condition?
A) Diabetes insipidus
B) Increased intracranial pressure
C) Pulmonary edema
D) Acute kidney injury
Answer: A (Diabetes insipidus)
Question 8: A client is diagnosed with hypoparathyroidism. The nurse teaches the importance of taking
calcium replacements. Which client statement indicates FUR- THER teaching is required?
A) "If I don't take my calcium tablets, I could develop irregular heartbeats."
B) "I will call my health care provider if my hands or feet start tingling and become numb."
C) "If i have difficulty swallowing my food, I will seek medical attention promptly."
D) "If I have an extra glass of milk each day, I don't have to take my calcium tablets."
Answer: D ("If I have an extra glass of milk each day, I don't have to take my calcium tablets.")
Question 9: The nurse instructs the client recently diagnosed with type 1 diabetes about proper meal
planning. Which action should the nurse take FIRST?
A) Instruct the client about the importance of eating regular meals
B) Inform the client that 50-60% of calories should come from carbohydrates
C) Obtain a diet history that includes the client's favorite foods and usual meal patterns
D) Teach the client how to use the Exchange List for Meal Planning
Answer: C (Obtain a diet history that includes the client's favorite foods and usual meal patterns)
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, Question 10: The nurse teaches a client diagnosed with iron deficiency anemia about diet. The nurse
determines teaching is successful if the client selects which menu items?
A) Chicken salad, lettuce, tomatoes, and an apple
B) Roast beef sandwich, coleslaw, and ice cream
C) Liver and onions, spinach, and rice pudding with raisins
D) Cheese omelet, toast, and fruit cocktail
Answer: C (Liver and onions, spinach, and rice pudding with raisins)
Question 11: The nurse knows that a client with a blood sugar level of 40 mg/dL indicates which
condition?
A) Ketoacidosis
B) Normal serum blood glucose
C) Hypoglycemia
D) Glycosuria
Answer: C (Hypoglycemia)
Question 12: A client is evaluated in the outpatient clinic for hypothyroidism. The nurse expects the
client to exhibit which symptoms?
A) Joint pain
B) Urinary frequency
C) Increasing fatigue
D) Muscular twitching
Answer: C (Increasing fatigue)
Question 13: The nurse monitors a client diagnosed with type 1 diabetes. The client tells the nurse, "I
jog 30 minutes every day but today after my jog I felt nervous, hungry, and had tremors." Which
statement by the nurse is BEST?
A) "You should walk rather than jog."
B) "How do you feel before you begin exercising?"
C) "What do you think is causing these feelings?"
D) "You should eat cheese and crackers prior to jogging."
Answer: D ("You should eat cheese and crackers prior to jogging.")
Question 14: The nurse provides care for a client diagnosed with diabetes insipidus. The client receives
desmopressin. Which action is MOST important for the nurse to include in the client's care plan?
A) Record daily weights
B) Test urine for glycosuria
C) Reduce fluid intake
D) Monitor client for constipation
Answer: C (Reduce fluid intake)
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with Correct Answers (Grade A+)
Question 1: A client is diagnosed with breast cancer after a positive breast biopsy. The client refuses to
believe the diagnosis and says, "I do not have the C-disease." When planning nursing interventions,
which is an INITIAL short-term goal?
A) The client will say the word "cancer"
B) The client will admit to having cancer
C) The client will attend a cancer support group
D) The client will sign an advance directive
Answer: A (The client will say the word "cancer")
Question 2: The nurse provides care for a patient with Addison disease. How would the nurse expect
the client's skin to appear?
A) Ruddy and oily
B) Puffy
C) Abnormally dark and pigmented
D) Pale, dry, and scaly
Answer: C (Abnormally dark and pigmented)
Question 3: The nurse provides care for a client diagnosed with pernicious anemia. Which treatment
does the nurse expect to be prescribed?
A) Oral administration of vitamin B12 supplements daily
B) Oral administration of ferrous gluconate 325mg 3 times daily
C) Oral administration of 1mg folic acid daily
D) Parenteral administration of vitamin B12 once a month
Answer: D (Parenteral administration of vitamin B12 once a month)
Question 4: A client has undergone a thyroidectomy. The nurse is conducting a post operative
assessment. Which procedure must the nurse perform to assess for bleeding for this client?
A) Remove the dressing and observe the incision every 15 minutes for one hour
B) Reinforce the existing pressure dressing as needed
C) Check the dressing and the back of the client's neck
D) Change the surgical dressing within two hours of the surgery to assess for hematoma formation
Answer: C (Check the dressing and the back of the client's neck)
Page 1
,Question 5: The nurse in the outpatient clinic provides care for a client with the diagnosis of Cushing
disease. The nurse expects to observe which symptoms?
A) Weight loss
B) Thin legs and arms
C) Hypoglycemia
D) Hypotension
Answer: B (Thin legs and arms)
Question 6: In which age group is diabetes mellitus type 2 MOST likely to occur?
A) Children
B) Adolescents
C) Older Adults
D) Adults
Answer: D (Adults)
Question 7: The nurse provides care for a client diagnosed with a severe head injury. The client's urine
output is 150 mL/hour, blood pressure 92/68 mm/Hg, and increased serum osmolality is present. The
nurse suspects the client has which condition?
A) Diabetes insipidus
B) Increased intracranial pressure
C) Pulmonary edema
D) Acute kidney injury
Answer: A (Diabetes insipidus)
Question 8: A client is diagnosed with hypoparathyroidism. The nurse teaches the importance of taking
calcium replacements. Which client statement indicates FUR- THER teaching is required?
A) "If I don't take my calcium tablets, I could develop irregular heartbeats."
B) "I will call my health care provider if my hands or feet start tingling and become numb."
C) "If i have difficulty swallowing my food, I will seek medical attention promptly."
D) "If I have an extra glass of milk each day, I don't have to take my calcium tablets."
Answer: D ("If I have an extra glass of milk each day, I don't have to take my calcium tablets.")
Question 9: The nurse instructs the client recently diagnosed with type 1 diabetes about proper meal
planning. Which action should the nurse take FIRST?
A) Instruct the client about the importance of eating regular meals
B) Inform the client that 50-60% of calories should come from carbohydrates
C) Obtain a diet history that includes the client's favorite foods and usual meal patterns
D) Teach the client how to use the Exchange List for Meal Planning
Answer: C (Obtain a diet history that includes the client's favorite foods and usual meal patterns)
Page 2
, Question 10: The nurse teaches a client diagnosed with iron deficiency anemia about diet. The nurse
determines teaching is successful if the client selects which menu items?
A) Chicken salad, lettuce, tomatoes, and an apple
B) Roast beef sandwich, coleslaw, and ice cream
C) Liver and onions, spinach, and rice pudding with raisins
D) Cheese omelet, toast, and fruit cocktail
Answer: C (Liver and onions, spinach, and rice pudding with raisins)
Question 11: The nurse knows that a client with a blood sugar level of 40 mg/dL indicates which
condition?
A) Ketoacidosis
B) Normal serum blood glucose
C) Hypoglycemia
D) Glycosuria
Answer: C (Hypoglycemia)
Question 12: A client is evaluated in the outpatient clinic for hypothyroidism. The nurse expects the
client to exhibit which symptoms?
A) Joint pain
B) Urinary frequency
C) Increasing fatigue
D) Muscular twitching
Answer: C (Increasing fatigue)
Question 13: The nurse monitors a client diagnosed with type 1 diabetes. The client tells the nurse, "I
jog 30 minutes every day but today after my jog I felt nervous, hungry, and had tremors." Which
statement by the nurse is BEST?
A) "You should walk rather than jog."
B) "How do you feel before you begin exercising?"
C) "What do you think is causing these feelings?"
D) "You should eat cheese and crackers prior to jogging."
Answer: D ("You should eat cheese and crackers prior to jogging.")
Question 14: The nurse provides care for a client diagnosed with diabetes insipidus. The client receives
desmopressin. Which action is MOST important for the nurse to include in the client's care plan?
A) Record daily weights
B) Test urine for glycosuria
C) Reduce fluid intake
D) Monitor client for constipation
Answer: C (Reduce fluid intake)
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