PNR201 Med Surg 1 Exam 2 NCLEX Questions and Answers 2025

PNR201 Med Surg 1 Exam 2 NCLEX
Questions and Answers 2025
AAnurseAevaluatesAtheAvisualAacuityAofAaApatientAusingAtheASnellenAchart.AWhichAstatemen
tAisAtrueAregardingAtheAuseAofAtheASnellenAchart?
1.ATheAchartAisAplacedA40AfeetAawayAfromAtheApatient.
2.ATheApatientAreadsAtheAlettersAusingAoneAeyeAatAaAtime.
3.ATheAnumeratorA(topAnumber)AindicatesAtheAsmallestAlineAthatAtheApatientAcouldAread.
4.ATheAdenominatorA(bottomAnumber)ArefersAtoAtheApatient'sAdistanceAfromAtheAchart.A-
AcorrectAanswers-CorrectAAnswer:A2




VisualAacuityAisAtestedAbyAhavingAtheApatientAreadAtheAlinesAonAtheASnellenAchartAwithAoneA
eyeAwhileAtheAotherAeyeAisAcompletelyAcovered.AThenAtheAoppositeAeyeAisAtestedAinAtheAsa
meAmanner.A(1)ATheApatientAisAnormallyA20AfeetAawayAfromAtheAchart.A(3)ATheAtopAnumberA
indicatesAhowAfarAawayAtheApatientAis.A(4)ATheAbottomAnumberArefersAtoAtheAdistanceAatAw
hichApeopleAwithAnormalAvisionAcanAreadAtheAlineAofAtheAchart.
WhileAlookingAatAaAcardAwithAaAgeometricAgridAofAidenticalAsquares,AaApatientAisAaskedAtoAf
ocusAonAaAcentralAdotAandAtoAdescribeAanyAdistortionsAofAtheAsurroundingAboxes.AWhichAp
atientAstatementAindicatesAaAneedAforAfurtherAdiagnosticAtesting?
1.A"IAgetAdizzyAstaringAatAtheseAboxesAforAsoAlong."
2.A"IAamAbeginningAtoAseeAcolorAdifferencesAinAtheAsquares."
3.A"IAcanAseeAallAtheAboxesAsurroundingAtheAdot."
4.A"ThereAareAwavyAlinesAaroundAtheAcentralAdot."A-AcorrectAanswers-CorrectAAnswer:A4

SeeingAwavyAlinesAonAanAAmslerAgridAisAanAindicationAthatAtheApatientAhasAaAmacularAprobl
em.AFurtherAevaluationAbyAanAophthalmologistAshouldAbeAsoughtAquickly.A(1)AGettingAdizz
yAdoesAnotAindicateAmacularAdegeneration.A(2)AColorAdifferenceAisAnotAaAfunctionAofAmacul
arAdegeneration.A(3)ASeeingAallAofAtheAboxesAindicatesAnormalAvision.
DuringAaAhealthAcareAproviderAvisit,AaA65-year-
oldAmanAcomplainsAofApainAinAhisArightAeyeAassociatedAwithAexcessiveAtearing.AYouAnoteAt
hatAtheAeyeAisAredAwithAlashesArubbingAagainstAtheAcornea.AAAlikelyAconditionAwouldAbe:
1.Aptosis.
2.Aectropion.
3.Ahordeolum.
4.Aentropion.A-AcorrectAanswers-CorrectAAnswer:A4

WhenAtheAeyelidAisAinvertedAandAtheAlashesArubAonAtheAeyeball,AitAisAcalledAentropion.A(1)A
PtosisAisAaAdroopingAofAtheAlowerAeyelid.A(2)AEctropionAisAwhenAtheAeyelidAfoldsAoutward.A(
3)AHordeolumAisAaAdisorderAofAtheAeyelid.
WhichAnursingAaction(s)Ademonstrate(s)AappropriateAcareAofAaApatientAwhoAisAvisuallyAimp
aired?A(SelectAallAthatAapply.)
1.AIntroduceAselfAbeforeAtouching.
2.ASpeakAslowlyAwithAaAloudAvoice.

,3.AKeepAtheAdoorAajar.
4.AEnsureAreadyAaccessAtoAtheAcallAbuttonAforAassistance.
5.AAssistAwithAfeedingAusingAtheAclockAmethod.A-AcorrectAanswers-
CorrectAAnswers:A1,A4,A5

ToAavoidAstartlingAtheApatient,AyouAshouldAintroduceAyourselfAbeforeAtouchingAthem.ATheAc
allAbuttonAshouldAbeApositionedAsoAthatAtheApatientAknowsAwhereAitAisAandAwhereAitAcanAbeA
quicklyAreached.ADescribingAfoodsAonAtheAplateAbyAwhereAtheyAwouldAbeApositionedAonAaA
clockAfaceAhelpsAtheApatientAeatAindependently.A(2)ASpeakingAslowlyAwithAaAloudAvoiceAma
yAbeAusedAtoAspeakAtoAaApersonAwithAaAhearingAimpairment.A(3)AKeepingAtheAdoorAajarAma
yAaddAdisruptiveAnoises.
AAmaleApatientAwasAinformedAthatAheAwouldAneedAtoAwearAaApairAofAcorrectiveAlensesAforAa
stigmatism.AWhenAaskedAaboutAtheAcondition,AtheApatientAdemonstratesAunderstandingAw
henAheAstatesAthat:
1.A"AstigmatismAisAhardeningAofAtheAciliaryAmuscles."
2.A"AstigmatismAisAanAirregularAcurvatureAofAtheAcornea."
3.A"AstigmatismAenablesAfocusingAofAlightAinAfrontAofAtheAretina."
4.A"AstigmatismAisAanAincreasedAopacityAofAtheAlens."A-AcorrectAanswers-
CorrectAAnswer:A2

AstigmatismAisAcausedAbyAanAirregularAcurvatureAofAtheAcornea.A(1)AHardeningAofAtheAciliar
yAmusclesAisAnotAastigmatism.A(3)AAstigmatismAfocusesAlightAinAseveralApoints.A(4)ACatara
ctsAareAincreasedAopacityAofAtheAlens.
WhichAinstructionAmustAbeAincludedAinAtheAdischargeAteachingAofAaApatientAwhoAhasAunder
goneAcornealAtransplant?
1.AIncreaseAphysicalAactivity.
2.AWearAanAeyeAshieldAwhenAinAcloseAcontactAwithAchildrenAorApets.
3.ARemoveAtheApressureAdressingAasAneeded.
4.ALieAonlyAonAtheAoperativeAside.A-AcorrectAanswers-CorrectAAnswer:A2

TheApatientAshouldAprotectAtheAeyeAwithAanAeyeAshieldAwhenAaroundAchildrenAorApetsAtoApr
eventAanAaccidentalAinjuryAtoAtheAeyeAwithAdisruptionAofAtheAcornealAtransplant.A(1)APhysic
alAactivityAshouldAbeAreduced.A(3)ATheApressureAdressingAshouldAbeAkeptAinAplace.A(4)AThe
ApatientAshouldAlieAonAtheAoppositeAsideAofAtheAsurgery.

AnAolderAadultAisAadmittedAforAcataractAextraction.AWhichAsignAorAsymptomAisAassociatedA
withAthisAcondition?
1.AIncreasedAtearing
2.AIncreasingAfarsightedness
3.AIncreasingAcomplaintsAaboutAglare
4.ABluishAdiscolorationsA-AcorrectAanswers-CorrectAAnswer:A3

IncreasingAcomplaintsAaboutAglareAareAassociatedAwithAtheAgrowthAofAaAcataract.
RetinopathyAisAfrequentAinApatientsAwithAdiabetes,AeitherAfromAovergrowthAofAbloodAvessel
sAorAfromAhypertensionAthatAcausesAincreasedApressureAandAruptureAofAvessels.A(1)ACatar
actsAdoAnotAcauseAtearing.A(2)ACataractsAdoAnotAalterAtheApointAofAfocusAonAtheAretina.A(4)A
CataractsAdoAnotAcauseAblueAdiscoloration.

, PeopleAwithAdiabetesAmayAfaceAseveralAeyeAproblemsAandAdiseasesAasAaAcomplicationAofA
theirAillness.AWhichAofAtheAfollowingAcanAcauseAsevereAvisionAlossAorAblindnessAinAaAperso
nAwithAdiabetes?A(SelectAallAthatAapply.)
1.AGlaucoma
2.ARetinopathy
3.APresbyopia
4.ACataractsA-AcorrectAanswers-CorrectAAnswers:A1,A2,A4

DiabeticsAmayAfaceAaAgroupAofAeyeAdiseases,AincludingA(1)Aglaucoma,A(2)Aretinopathy,Aan
dA(4)Acataracts.A(3)AAlthoughAdiabeticsAmayAhaveApresbyopia,AitAisAnotAassociatedAwithAbli
ndnessAandAdiabeticsAareAnotAatAincreasedArisk.
AfterAeyeAsurgery,AaApatientAisAinstructedAtoAavoidAmovementsAthatAincreaseAtheAvenousAp
ressureAinAtheAhead,Aneck,AandAeyes.AWhichAmovement(s)Aincrease(s)AvenousApressure?
A(SelectAallAthatAapply.)

1.AStraining
2.ABendingAover
3.AKeepingAtheAheadAup
4.ASuddenAheadAmovements
5.AStrenuousAexercisesA-AcorrectAanswers-CorrectAAnswers:A1,A2,A5

(1)AStrainingAwhenAliftingAheavyAobjectsAorAtoApassAstool,A(2)AbendingAoverAwithAtheAheadA
down,AandA(5)AstrenuousAexerciseAcanAallAincreaseAintracranialApressureAandAvenousApre
ssureAinAtheAheadAandAneck,AwhichAinAturnAincreasesAintraocularApressure.A(3)AKeepingAth
eAheadAupAandA(4)AsuddenAheadAmovementsAdoAnotAincreaseAintraocularApressure.
AAwomanAcomplainsAofAeyeAitching,Atearing,AhalosAaroundAlights,AandAdecreasedAcentralAv
ision.AWhichAsymptomAmostAclearlyArelatesAtoAmacularAdegeneration?
1.AEyeAitching
2.ATearing
3.AHalosAaroundAlights
4.ADecreasedAcentralAvisionA-AcorrectAanswers-CorrectAAnswer:A4

AAdecreaseAinAcentralAvisionAisAmostAcharacteristicAofAmacularAdegeneration.A(1)AEyeAitchi
ng,A(2)Atearing,AandA(3)AhalosAaroundAlightsAareAnotAsymptomsAofAmacularAdegeneration.
BeforeAeyeAsurgery,AaApatientAisAinstructedAtoAtakeAstoolAsofteners.AWhenAaskedAaboutAth
eArationaleAforAtakingAtheAstoolAsoftener,AanAappropriateAresponseAwouldAbe:
1.A"TheAmedicationAreducesAtheApossibilityAofAstrainingAatAstoolApostoperatively."
2.A"TheAmedicationApreventsAconstipationAcausedAbyAanestheticAagents."
3.A"TheAmedicationAcleansesAtheAgastrointestinalAtract."
4.A"TheAmedicationAenhancesAsurgicalArecovery."A-AcorrectAanswers-CorrectAAnswer:A1

StoolAsoftenersAhelpAdecreaseAtheApossibilityAofAstrainingAtoApassAstool.AStrainingAmayAca
useAincreasedAintraocularApressure.AStoolAsoftenersAareAnotAusedAforA(2)AreducingApossibl
eAconstipationAfromAoperativeAdrugs,A(3)AcleansingAtheAgastrointestinalAtract,AorA(4)Aenhan
cingArecovery.
WhatAadviceAmayAyouAgiveAtoAanAagingAadultAtoAhelpApreventAmacularAdegeneration?A(Sel
ectAallAthatAapply.)