NUR 120 (MED/SURG - Test 6) NCLEX STYLE PRACTICE
Questions with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a client admitted with acute pancreatitis. Which data
support the client's diagnosis? (Select all that apply)
A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
E) Steatorrhea **P-4**
Answer: A, B, C, & D (Severe epigastric pain) (Nausea and vomiting) (Elevated temperature)
(Hypotension)
Question 2: The nurse is providing care to a client who is being admitted to rule out acute pancreatitis.
Which item found in the client's history increases the client's risk for this disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia **P-4**
Answer: B (Alcoholism)
Question 3: A client was discharged after hospitalization for acute pancreatitis with instructions on the
use of analgesics, cautions on the importance of avoiding alcohol and smoking, and recommendations
for a low-fat diet. Which outcomes would indicate that the client has implemented the
recommendations? (Select all that apply)
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
D) The client returns to work.
E) The client is free from nausea. **P-4**
Answer: A, B, C, & E (The client experiences reduction or elimination of pain) (The client is free from
alterations in nutritional status) (The client remains free from alterations in fluid balance) (The client is free
from nausea)
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, Question 4: A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia, nausea,
vomiting, and jaundice. What diagnostic test should the nurse expect to be performed on this client to
determine the presence of gallstones?
A) Ultrasonography
B) Endoscopic retrograde cholangiopancreatography (ERCP)
C) Contrast-enhanced CT scan
D) Percutaneous fine-needle aspiration biopsy **P-4**
Answer: A (Ultrasonography)
Question 5: A client is admitted to the hospital with an elevated temperature, nausea, and pain and
tenderness in the lower right quadrant of the abdomen. After receiving pain medication, the client
continues to complain of pain at a level of 8 on a 0-10 pain scale. The client is not scheduled to receive
pain medications for at least another 2 hours. Given these circumstances, which statement by the nurse
is most appropriate?
A) "I will inform the healthcare provider about your continued pain."
B) "I do not have any medications ordered for you at this time."
C) "Try to rest for a while longer until it is time to receive your medication"
D) "Let's try a heating pad or warm blanket to see if that helps with your discomfort." **P-10**
Answer: A ( "I will inform the healthcare provider about your continued pain.")
Question 6: A client with acute abdominal pain is scheduled for an appendectomy in 3 hours. While
waiting for the surgery, the client reports that the pain has subsided. In this scenario, what is the
priority action by the nurse?
A) Determine when the client can be medicated for pain.
B) Contact the surgery department.
C) Contact the healthcare provider.
D) Notify the nursing supervisor. **P-10**
Answer: C (Contact the healthcare provider)
Question 7: An adult female client develops signs and symptoms of appendicitis during the night. The
client is brought to the emergency department by her family. Which nursing intervention is the most
culturally sensitive for this client?
A) Ask the healthcare provider who should assess the client.
B) Ask for a female healthcare provider to assess the client.
C) Ask for a male healthcare provider to assess the client.
D) Explain the assessment procedure and ask the client and family their preference. **P-10**
Answer: D ( Explain the assessment procedure and ask the client and family their preference)
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Questions with Correct Answers (Grade A+)
Question 1: The nurse is providing care to a client admitted with acute pancreatitis. Which data
support the client's diagnosis? (Select all that apply)
A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
E) Steatorrhea **P-4**
Answer: A, B, C, & D (Severe epigastric pain) (Nausea and vomiting) (Elevated temperature)
(Hypotension)
Question 2: The nurse is providing care to a client who is being admitted to rule out acute pancreatitis.
Which item found in the client's history increases the client's risk for this disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia **P-4**
Answer: B (Alcoholism)
Question 3: A client was discharged after hospitalization for acute pancreatitis with instructions on the
use of analgesics, cautions on the importance of avoiding alcohol and smoking, and recommendations
for a low-fat diet. Which outcomes would indicate that the client has implemented the
recommendations? (Select all that apply)
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
D) The client returns to work.
E) The client is free from nausea. **P-4**
Answer: A, B, C, & E (The client experiences reduction or elimination of pain) (The client is free from
alterations in nutritional status) (The client remains free from alterations in fluid balance) (The client is free
from nausea)
Page 1
, Question 4: A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia, nausea,
vomiting, and jaundice. What diagnostic test should the nurse expect to be performed on this client to
determine the presence of gallstones?
A) Ultrasonography
B) Endoscopic retrograde cholangiopancreatography (ERCP)
C) Contrast-enhanced CT scan
D) Percutaneous fine-needle aspiration biopsy **P-4**
Answer: A (Ultrasonography)
Question 5: A client is admitted to the hospital with an elevated temperature, nausea, and pain and
tenderness in the lower right quadrant of the abdomen. After receiving pain medication, the client
continues to complain of pain at a level of 8 on a 0-10 pain scale. The client is not scheduled to receive
pain medications for at least another 2 hours. Given these circumstances, which statement by the nurse
is most appropriate?
A) "I will inform the healthcare provider about your continued pain."
B) "I do not have any medications ordered for you at this time."
C) "Try to rest for a while longer until it is time to receive your medication"
D) "Let's try a heating pad or warm blanket to see if that helps with your discomfort." **P-10**
Answer: A ( "I will inform the healthcare provider about your continued pain.")
Question 6: A client with acute abdominal pain is scheduled for an appendectomy in 3 hours. While
waiting for the surgery, the client reports that the pain has subsided. In this scenario, what is the
priority action by the nurse?
A) Determine when the client can be medicated for pain.
B) Contact the surgery department.
C) Contact the healthcare provider.
D) Notify the nursing supervisor. **P-10**
Answer: C (Contact the healthcare provider)
Question 7: An adult female client develops signs and symptoms of appendicitis during the night. The
client is brought to the emergency department by her family. Which nursing intervention is the most
culturally sensitive for this client?
A) Ask the healthcare provider who should assess the client.
B) Ask for a female healthcare provider to assess the client.
C) Ask for a male healthcare provider to assess the client.
D) Explain the assessment procedure and ask the client and family their preference. **P-10**
Answer: D ( Explain the assessment procedure and ask the client and family their preference)
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