MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION GRADED A+
A female pa�ent suffers adult respiratory distress syndrome as a consequence of shock. The pa�ent's
condi�on deteriorates rapidly and endotracheal intuba�on and mechanical ven�la�on are ini�ated.
When the high pressure alarm on the mechanical ven�lator alarm sounds, the nurse starts to check for
the cause. Which condi�on triggers the high pressure alarm?
A. Kinking of the ven�lator tubing
B. A disconnected ven�lator tube
C. An endotracheal cuff leak
D. A change in the oxygen concentra�on without rese�ng the oxygen level alarm - ansA. Kinking of the
ven�lator tubing
A male adult pa�ent hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis.
Which clinical findings commonly accompany respiratory alkalosis?
A. nausea or vomi�ng
B. abdominal pain or diarrhea
C. hallucina�ons or �nnitus
D. lightheadedness or paresthesia - ansD. lightheadedness or paresthesia
A male adult pa�ent on mechanical ven�la�on is receiving pancuronium bromide (Pavulon), 0.01 mg/kg
I.V. as needed. Which assessment finding indicates that the pa�ent needs another pancuronium dose?
A. Leg movement
B. Finger movement
C. Lip movement
D. Figh�ng the ven�lator - ansD. Figh�ng the ven�lator
A male pa�ent has a sucking stab wound to the chest. Which ac�on should the nurse take first?
A. drawing blood for a hematocrit and hemoglobin level
, MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION GRADED A+
B. applying a dressing over the wound and taping it on three sides
C. preparing a chest tube inser�on tray
D. preparing to start an IV line - ansB. applying a dressing over the wound and taping it on three sides
A male pa�ent is admited to the health care facility for treatment of chronic obstruc�ve pulmonary
disease. Which nursing diagnosis is most important for this pa�ent?
A. Ac�vity intolerance related to fa�gue
B. Anxiety related to actual threat to health status
C. Risk for infec�on related to retained secre�ons
D. Impaired gas exchange related to airflow obstruc�on - ansD. Impaired gas exchange related to airflow
obstruc�on
A male pa�ent's X-ray result reveals bilateral white-outs, indica�ng adult respiratory distress syndrome
(ARDS). This syndrome results from:
A. Cardiogenic pulmonary edema
B. Respiratory alkalosis
C. Increased pulmonary capillary permeability
D. Renal failure - ansC. Increased pulmonary capillary permeability
A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse
about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of
pursed-lip breathing is to:
A. Promote oxygen intake.
B. Strengthen the diaphragm.
C. Strengthen the intercostal muscles.
D. Promote carbon dioxide elimina�on. - ansD. Promote carbon dioxide elimina�on.
AND ANSWERS LATEST VERSION GRADED A+
A female pa�ent suffers adult respiratory distress syndrome as a consequence of shock. The pa�ent's
condi�on deteriorates rapidly and endotracheal intuba�on and mechanical ven�la�on are ini�ated.
When the high pressure alarm on the mechanical ven�lator alarm sounds, the nurse starts to check for
the cause. Which condi�on triggers the high pressure alarm?
A. Kinking of the ven�lator tubing
B. A disconnected ven�lator tube
C. An endotracheal cuff leak
D. A change in the oxygen concentra�on without rese�ng the oxygen level alarm - ansA. Kinking of the
ven�lator tubing
A male adult pa�ent hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis.
Which clinical findings commonly accompany respiratory alkalosis?
A. nausea or vomi�ng
B. abdominal pain or diarrhea
C. hallucina�ons or �nnitus
D. lightheadedness or paresthesia - ansD. lightheadedness or paresthesia
A male adult pa�ent on mechanical ven�la�on is receiving pancuronium bromide (Pavulon), 0.01 mg/kg
I.V. as needed. Which assessment finding indicates that the pa�ent needs another pancuronium dose?
A. Leg movement
B. Finger movement
C. Lip movement
D. Figh�ng the ven�lator - ansD. Figh�ng the ven�lator
A male pa�ent has a sucking stab wound to the chest. Which ac�on should the nurse take first?
A. drawing blood for a hematocrit and hemoglobin level
, MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS
AND ANSWERS LATEST VERSION GRADED A+
B. applying a dressing over the wound and taping it on three sides
C. preparing a chest tube inser�on tray
D. preparing to start an IV line - ansB. applying a dressing over the wound and taping it on three sides
A male pa�ent is admited to the health care facility for treatment of chronic obstruc�ve pulmonary
disease. Which nursing diagnosis is most important for this pa�ent?
A. Ac�vity intolerance related to fa�gue
B. Anxiety related to actual threat to health status
C. Risk for infec�on related to retained secre�ons
D. Impaired gas exchange related to airflow obstruc�on - ansD. Impaired gas exchange related to airflow
obstruc�on
A male pa�ent's X-ray result reveals bilateral white-outs, indica�ng adult respiratory distress syndrome
(ARDS). This syndrome results from:
A. Cardiogenic pulmonary edema
B. Respiratory alkalosis
C. Increased pulmonary capillary permeability
D. Renal failure - ansC. Increased pulmonary capillary permeability
A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse
about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of
pursed-lip breathing is to:
A. Promote oxygen intake.
B. Strengthen the diaphragm.
C. Strengthen the intercostal muscles.
D. Promote carbon dioxide elimina�on. - ansD. Promote carbon dioxide elimina�on.
