lOMoARcPSD|26582732
Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17 Lomoarcpsd|26582732
Study Questions Unit 3 Med Surg
Chapters 18 19, 20 27 28 Maternity
Peds chapter 37 38 Parmacology
chapter 17
Medical-Surgical Nursing I (Wiregrass Georgia Technical
College)
Immune System and Autoimmune Disorders
1. A client with systemic lupus erythematosus (SLE) is experiencing fatigue, joint pain, and a
butterfly-shaped rash. Which intervention should the nurse prioritize?
O A. Encourage exercise to improve joint mobility. O B. Advise
sun exposure for vitamin D. O C. Encourage frequent rest
periods. O D. Increase protein intake in the diet.
O Answer: C
O Rationale: Fatigue is common in SLE, and rest is essential. Exercise and sun exposure can
worsen symptoms due to photosensitivity, and increased protein is not indicated for
joint pain management.
2. The nurse is caring for a patient with rheumatoid arthritis who is taking methotrexate. Which
laboratory test should be closely monitored?
o A. White blood cell count o B.
Blood glucose o C. Serum
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Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17 o
calcium o D. Creatinine
clearance o Answer: A
o Rationale: Methotrexate can
cause bone marrow
suppression, leading to
leukopenia. White blood cell
count monitoring helps detect
early signs of infection risk.
3. Which teaching is essential for a patient starting corticosteroid therapy for autoimmune
disease?
O A. “Take your medication on an empty stomach.” O B. “Avoid
exposure to anyone with an infection.” O C. “Take extra potassium
while on this medication.” O D. “Avoid all dairy products.”
O Answer: B
O Rationale: Corticosteroids suppress the immune system, increasing infection risk. Clients
should be cautious about exposure to infections.
4. Which statement by a patient with rheumatoid arthritis indicates understanding of joint
protection techniques?
O A. “I will use small, light weights to strengthen my hand muscles.” O B. “I should avoid
bending and twisting motions as much as possible.” O C. “It is best to limit all activities to
prevent joint pain.” O D. “Using crutches will increase my strength and mobility.”
O Answer: B
O Rationale: Avoiding bending and twisting helps prevent additional joint strain in patients
with rheumatoid arthritis.
Communicable Diseases and Infection Control
5. Which action is most appropriate for a nurse to take when caring for a child with chickenpox in
the hospital? O A. Place the child on contact precautions.
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Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17
o B. Use standard precautions only. O C. Initiate
airborne and contact precautions. O D. Use droplet
precautions. O Answer: C
o Rationale: Chickenpox (varicella) is spread by airborne
and contact routes, requiring both airborne and
contact precautions.
6. The nurse caring for a child with measles should take which infection control precautions?
o A. Contact o
B. Airborne o
C. Droplet o
D. Standard o
Answer: B
o Rationale:
Measles is
transmitted
through
airborne
particles;
therefore,
airborne
precautions
are essential.
7. What is the nurse’s best response when a parent asks why their child needs a flu shot every
year?
A. “Your child’s immune system requires regular booster shots.” O B. “The flu
virus mutates every year, requiring a new vaccine.” O C. “The flu shot is only
effective for a few months.” O D. “Children under 5 years need more frequent
vaccination.” O Answer: B
O Rationale: The flu virus changes frequently, so a new vaccine is developed each year to
target the most likely strains.
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Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17 Lomoarcpsd|26582732
Study Questions Unit 3 Med Surg
Chapters 18 19, 20 27 28 Maternity
Peds chapter 37 38 Parmacology
chapter 17
Medical-Surgical Nursing I (Wiregrass Georgia Technical
College)
Immune System and Autoimmune Disorders
1. A client with systemic lupus erythematosus (SLE) is experiencing fatigue, joint pain, and a
butterfly-shaped rash. Which intervention should the nurse prioritize?
O A. Encourage exercise to improve joint mobility. O B. Advise
sun exposure for vitamin D. O C. Encourage frequent rest
periods. O D. Increase protein intake in the diet.
O Answer: C
O Rationale: Fatigue is common in SLE, and rest is essential. Exercise and sun exposure can
worsen symptoms due to photosensitivity, and increased protein is not indicated for
joint pain management.
2. The nurse is caring for a patient with rheumatoid arthritis who is taking methotrexate. Which
laboratory test should be closely monitored?
o A. White blood cell count o B.
Blood glucose o C. Serum
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17 o
calcium o D. Creatinine
clearance o Answer: A
o Rationale: Methotrexate can
cause bone marrow
suppression, leading to
leukopenia. White blood cell
count monitoring helps detect
early signs of infection risk.
3. Which teaching is essential for a patient starting corticosteroid therapy for autoimmune
disease?
O A. “Take your medication on an empty stomach.” O B. “Avoid
exposure to anyone with an infection.” O C. “Take extra potassium
while on this medication.” O D. “Avoid all dairy products.”
O Answer: B
O Rationale: Corticosteroids suppress the immune system, increasing infection risk. Clients
should be cautious about exposure to infections.
4. Which statement by a patient with rheumatoid arthritis indicates understanding of joint
protection techniques?
O A. “I will use small, light weights to strengthen my hand muscles.” O B. “I should avoid
bending and twisting motions as much as possible.” O C. “It is best to limit all activities to
prevent joint pain.” O D. “Using crutches will increase my strength and mobility.”
O Answer: B
O Rationale: Avoiding bending and twisting helps prevent additional joint strain in patients
with rheumatoid arthritis.
Communicable Diseases and Infection Control
5. Which action is most appropriate for a nurse to take when caring for a child with chickenpox in
the hospital? O A. Place the child on contact precautions.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Unit 3 Med Surg Study Questions Nclex Style With Rrationales
Med-Surg Chpt 18, 19, 20, 27, 28
Maternity & Pediatrics Chpt 37 & 38
Pharmacology Chpt 17
o B. Use standard precautions only. O C. Initiate
airborne and contact precautions. O D. Use droplet
precautions. O Answer: C
o Rationale: Chickenpox (varicella) is spread by airborne
and contact routes, requiring both airborne and
contact precautions.
6. The nurse caring for a child with measles should take which infection control precautions?
o A. Contact o
B. Airborne o
C. Droplet o
D. Standard o
Answer: B
o Rationale:
Measles is
transmitted
through
airborne
particles;
therefore,
airborne
precautions
are essential.
7. What is the nurse’s best response when a parent asks why their child needs a flu shot every
year?
A. “Your child’s immune system requires regular booster shots.” O B. “The flu
virus mutates every year, requiring a new vaccine.” O C. “The flu shot is only
effective for a few months.” O D. “Children under 5 years need more frequent
vaccination.” O Answer: B
O Rationale: The flu virus changes frequently, so a new vaccine is developed each year to
target the most likely strains.
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