Med-Surg Nclex- Questions and
Answers All Solved Accurate 2026
Update.
The nurse is completing the admission assessment for a client who is intellectually disabled.
Which part of the client encounter may require more time to complete?
ID: 0009 | 5.xml #9 - Answer The history
A Spanish-speaking client arrives at the triage desk in the emergency department and states to
the nurse that an interpreter is needed. Which is the best action for the nurse to take?
ID: 0090 | 12.xml #90 - Answer Page an interpreter from the hospital's interpreter services.
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response
by the nurse is most likely to stimulate further discussion between the client and the nurse?
ID: 0130 | 15.xml #130 - Answer "Can you share with me what you've been told about your
surgery?"
The nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic techniques should the nurse use when communicating with the
family? Select all that apply.
ID: 0169 | 18.xml #169 - Answer Encourage expression of feelings, concerns, and fears.
Touch and hold the client's or family member's hand if appropriate.
Be honest and let the client and family know they will not be abandoned by the nurse.
The home care nurse is visiting an older client whose spouse died 6 months ago. Which
behaviors by the client indicates effective coping? Select all that apply.
ID: 0176 | 19.xml #176 - Answer Looking at old snapshots of family
Participating in a senior citizens program
Visiting the spouse's grave once a month
Decorating a wall with the spouse's pictures and awards received
,A 55-year-old male client confides in the nurse that he is concerned about his sexual function.
What is the nurse's best response?
ID: 0193 | 20.xml #193 - Answer "Please share with me more about your concerns."
A stillborn baby was delivered in the birthing suite a few hours ago. After the delivery, the family
remained together, holding and touching the baby. Which statement by the nurse would assist
the family in their period of grief?
ID: 0206 | 22.xml #206 - Answer "What can I do for you?"
The nurse in a maternity unit is providing emotional support to a client and her significant other
who are preparing to be discharged from the hospital after the birth of a dead fetus. Which
statement made by the client indicates a component of the normal grieving process?
ID: 0215 | 22.xml #215 - Answer "We want to attend a support group."
After a precipitous delivery, the nurse notes that the new mother is passive and touches her
newborn infant only briefly with her fingertips. What should the nurse do to help the woman
process the delivery?
ID: 0257 | 25.xml #257 - Answer Support the mother in her reaction to the newborn infant.
The mother of a 6-year-old child arrives at a clinic because the child has been experiencing itchy,
red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the
laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the
nurse determines that which requires further investigation?
ID: 0343 | 34.xml #343 - Answer Possible sexual abuse
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying, and trying to climb out of the
tent. Which is the most appropriate nursing action?
ID: 0357 | 35.xml #357 - Answer Let the mother hold the child and direct the cool mist over
the child's face.
The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant
to the clinic for a routine checkup. The pediatrician has documented that the infant is
asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so
pleased that the infant will not get HIV infection. The nurse should make which most
appropriate response to the mother?
ID: 0407 | 40.xml #407 - Answer "Most children infected with HIV develop symptoms within
the first 9 months of life, and some become symptomatic sometime before they are 3 years
old."
,A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for
the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's
anxiety?
ID: 0491 | 46.xml #491 - Answer Convey empathy, trust, and respect toward the client.
The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?
ID: 0694 | 56.xml #694 - Answer Speak at a normal volume.
The nurse is assessing the adaptation of a client to changes in functional status after a stroke
(brain attack). Which observation indicates to the nurse that the client is adapting most
successfully?
ID: 0713 | 58.xml #713 - Answer Consistently uses adaptive equipment in dressing self
A client with Guillain-Barré syndrome has ascending paralysis and is intubated and receiving
mechanical ventilation. Which strategy should the nurse incorporate in the plan of care to help
the client cope with this illness?
ID: 0718 | 58.xml #718 - Answer Providing information, giving positive feedback, and
encouraging relaxation
A client has a neurological deficit involving the limbic system. On assessment, which finding is
specific to this type of deficit?
ID: 0719 | 58.xml #719 - Answer Affect is flat, with periods of emotional lability.
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of
nights." Which response by the nurse demonstrates therapeutic communication?
ID: 0788 | 64.xml #788 - Answer "You're having difficulty sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned.
Which communication technique should the nurse use to encourage the client to eat?
ID: 0789 | 64.xml #789 - Answer Using open-ended questions and silence
The nurse should plan which goals of the termination stage of group development? Select all
that apply. - Answer The group evaluates the experience.
The group explores members' feelings about the group and the impending separation.
On review of the client's record, the nurse notes that the admission was voluntary. Based on
this information, the nurse plans care anticipating which client behavior?
, ID: 0792 | 64.xml #792 - Answer A willingness to participate in the planning of the care and
treatment plan
A client admitted voluntarily for treatment of an anxiety problem demands to be released from
the hospital. Which action should the nurse take initially?
ID: 0793 | 64.xml #793 - Answer Contact the client's primary health care provider (PHCP).
When reviewing the admission assessment, the nurse notes that a client was admitted to the
mental health unit involuntarily. Based on this type of admission, the nurse should provide
which intervention for this client?
ID: 0794 | 64.xml #794 - Answer Monitor closely for harm to self or others.
When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia
nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse plans
care based on which purpose of this approach?
ID: 0795 | 64.xml #795 - Answer Helping the client to examine dysfunctional thoughts and
beliefs
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse
should tell the client that which is the first step in this 12-step program?
ID: 0796 | 64.xml #796 - Answer Admitting to having a problem
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply.
ID: 0799 | 64.xml #799 - Answer Restating
Active listening
Maintaining neutral responses
Providing acknowledgment and feedback
What is the most appropriate nursing action to help manage a manic client who is monopolizing
a group therapy session?
ID: 0800 | 64.xml #800 - Answer Thank the client for the input, but inform the client that
others now need a chance to contribute.
Answers All Solved Accurate 2026
Update.
The nurse is completing the admission assessment for a client who is intellectually disabled.
Which part of the client encounter may require more time to complete?
ID: 0009 | 5.xml #9 - Answer The history
A Spanish-speaking client arrives at the triage desk in the emergency department and states to
the nurse that an interpreter is needed. Which is the best action for the nurse to take?
ID: 0090 | 12.xml #90 - Answer Page an interpreter from the hospital's interpreter services.
A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response
by the nurse is most likely to stimulate further discussion between the client and the nurse?
ID: 0130 | 15.xml #130 - Answer "Can you share with me what you've been told about your
surgery?"
The nurse is preparing to care for a dying client, and several family members are at the client's
bedside. Which therapeutic techniques should the nurse use when communicating with the
family? Select all that apply.
ID: 0169 | 18.xml #169 - Answer Encourage expression of feelings, concerns, and fears.
Touch and hold the client's or family member's hand if appropriate.
Be honest and let the client and family know they will not be abandoned by the nurse.
The home care nurse is visiting an older client whose spouse died 6 months ago. Which
behaviors by the client indicates effective coping? Select all that apply.
ID: 0176 | 19.xml #176 - Answer Looking at old snapshots of family
Participating in a senior citizens program
Visiting the spouse's grave once a month
Decorating a wall with the spouse's pictures and awards received
,A 55-year-old male client confides in the nurse that he is concerned about his sexual function.
What is the nurse's best response?
ID: 0193 | 20.xml #193 - Answer "Please share with me more about your concerns."
A stillborn baby was delivered in the birthing suite a few hours ago. After the delivery, the family
remained together, holding and touching the baby. Which statement by the nurse would assist
the family in their period of grief?
ID: 0206 | 22.xml #206 - Answer "What can I do for you?"
The nurse in a maternity unit is providing emotional support to a client and her significant other
who are preparing to be discharged from the hospital after the birth of a dead fetus. Which
statement made by the client indicates a component of the normal grieving process?
ID: 0215 | 22.xml #215 - Answer "We want to attend a support group."
After a precipitous delivery, the nurse notes that the new mother is passive and touches her
newborn infant only briefly with her fingertips. What should the nurse do to help the woman
process the delivery?
ID: 0257 | 25.xml #257 - Answer Support the mother in her reaction to the newborn infant.
The mother of a 6-year-old child arrives at a clinic because the child has been experiencing itchy,
red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the
laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis, the
nurse determines that which requires further investigation?
ID: 0343 | 34.xml #343 - Answer Possible sexual abuse
A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes
concerned because the child is frightened, consistently crying, and trying to climb out of the
tent. Which is the most appropriate nursing action?
ID: 0357 | 35.xml #357 - Answer Let the mother hold the child and direct the cool mist over
the child's face.
The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant
to the clinic for a routine checkup. The pediatrician has documented that the infant is
asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so
pleased that the infant will not get HIV infection. The nurse should make which most
appropriate response to the mother?
ID: 0407 | 40.xml #407 - Answer "Most children infected with HIV develop symptoms within
the first 9 months of life, and some become symptomatic sometime before they are 3 years
old."
,A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for
the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's
anxiety?
ID: 0491 | 46.xml #491 - Answer Convey empathy, trust, and respect toward the client.
The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?
ID: 0694 | 56.xml #694 - Answer Speak at a normal volume.
The nurse is assessing the adaptation of a client to changes in functional status after a stroke
(brain attack). Which observation indicates to the nurse that the client is adapting most
successfully?
ID: 0713 | 58.xml #713 - Answer Consistently uses adaptive equipment in dressing self
A client with Guillain-Barré syndrome has ascending paralysis and is intubated and receiving
mechanical ventilation. Which strategy should the nurse incorporate in the plan of care to help
the client cope with this illness?
ID: 0718 | 58.xml #718 - Answer Providing information, giving positive feedback, and
encouraging relaxation
A client has a neurological deficit involving the limbic system. On assessment, which finding is
specific to this type of deficit?
ID: 0719 | 58.xml #719 - Answer Affect is flat, with periods of emotional lability.
The nurse visits a client at home. The client states, "I haven't slept at all the last couple of
nights." Which response by the nurse demonstrates therapeutic communication?
ID: 0788 | 64.xml #788 - Answer "You're having difficulty sleeping?"
A client experiencing disturbed thought processes believes that his food is being poisoned.
Which communication technique should the nurse use to encourage the client to eat?
ID: 0789 | 64.xml #789 - Answer Using open-ended questions and silence
The nurse should plan which goals of the termination stage of group development? Select all
that apply. - Answer The group evaluates the experience.
The group explores members' feelings about the group and the impending separation.
On review of the client's record, the nurse notes that the admission was voluntary. Based on
this information, the nurse plans care anticipating which client behavior?
, ID: 0792 | 64.xml #792 - Answer A willingness to participate in the planning of the care and
treatment plan
A client admitted voluntarily for treatment of an anxiety problem demands to be released from
the hospital. Which action should the nurse take initially?
ID: 0793 | 64.xml #793 - Answer Contact the client's primary health care provider (PHCP).
When reviewing the admission assessment, the nurse notes that a client was admitted to the
mental health unit involuntarily. Based on this type of admission, the nurse should provide
which intervention for this client?
ID: 0794 | 64.xml #794 - Answer Monitor closely for harm to self or others.
When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia
nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse plans
care based on which purpose of this approach?
ID: 0795 | 64.xml #795 - Answer Helping the client to examine dysfunctional thoughts and
beliefs
A client is preparing to attend a Gamblers Anonymous meeting for the first time. The nurse
should tell the client that which is the first step in this 12-step program?
ID: 0796 | 64.xml #796 - Answer Admitting to having a problem
The nurse in the mental health unit plans to use which therapeutic communication techniques
when communicating with a client? Select all that apply.
ID: 0799 | 64.xml #799 - Answer Restating
Active listening
Maintaining neutral responses
Providing acknowledgment and feedback
What is the most appropriate nursing action to help manage a manic client who is monopolizing
a group therapy session?
ID: 0800 | 64.xml #800 - Answer Thank the client for the input, but inform the client that
others now need a chance to contribute.
