Med-Surg NCLEX Exam Prep Questions with
Correct Answers
Client is diagnosed with Stage 1 Lyme disease. Which treatment will be included in plan
of care?
- Ultraviolet therapy
- No treatment unless symptoms develop
- Treatment with IV penicillin G
- A 3 to 4 week course of oral antibiotic therapy
A 3-4 week course of oral antibiotic therapy
Nurse is providing dietary instructions to patient with renal calculi, lab analysis
revealed that the calculus is composed of uric acid. Nurse tells patient to make which
dietary changes?
- ↑ intake of seafood in the diet
- ↑ intake of legumes in diet
- Include organ meat type food in diet
- ↑ intake of cranberries & citrus fruits
↑ intake of legumes in diet
Patient is being discharged following catara removal & the nurse is providing home
care instructions.Which statement indicates understanding of instructions
- "I will take aspirin if I have any discomfort"
- "I will sleep on the that I was operated on"
,- "I will not lift anything if it weighs more than 10 pounds"
- "I will wear my eye shield at night & my glasses during the day"
"I will wear my eye shield at night & my glasses during the day"
After renal biopsy patient complains of ain at the biopsy site, which radiate to the front
of the abdomen. Which would this indicate?
- Bleeding
- Infection
- Renal colic
- Normal, expected pain
Bleeding
Nurse notes that a patient has a positive reaction to Mantoux tuberculin skin test.
Which action by the is the priority?
- Report the findings
- Document the finding in the patients record
- Call the employee health services department
- Call the radiology department for chest x-ray
Report the findings
Nurse is monitoring the function of chest drainage system after a thoracotomy with
wedge resection. Which findings should the nurse expect to note? (Select all that apply)
- Excessive bubbling in water-seal chamber
- Vigorous bubbling in suction control chamber
,- 50mL of drainage in the drainage collection chamber
- The drainage system is maintained below the patients chest
- An occlusive dressing is in place over chest tube insertion site
- Fluctuation of H₂O in the tube of the water-seal chamber during inhalation &
exhalation
- 50mL of drainage in the drainage collection chamber
- The drainage system is maintained below the patients chest
- An occlusive dressing is in place over chest tube insertion site
- Fluctuation of H₂O in the tube of the water-seal chamber during inhalation & exhalation
Which s/s should the nurse expect to note when collecting data on a patient with
Addison's disease?
- Edema & weight gain
- Hypotension & vomitting
- Obesity & muscle hypertrophy
- Hirsutism & excessive hunger
Hypotension & vomitting
Which is s/s is observed in clonic phase of seizure?
- Body stiffening
- Sudden loss of consciousness
- Brief flexion of the extremities
- Extension spasms of the body
Extension spasms of the body
, Nurse is reviewing lab results of a patient with leukemia who has recieved a regimen of
a chemotherapy. Which lab finding would provide info about massive cell destruction
that occurs with the chemotherapy?
- Anemia
- Decreased platelets
- Increased uric acid level
- Decreased leukocyte count
Increased uric acid level
A LPN is preparing to assist RN with removing a NG tube from the patient. The LPN
should reinforce instructing the patient to preform which?
- Exhale
- Inhale & exhale quickly
- Take & hold a deep breath
- Preform Valsalva's maneuver
Take & hold deep breath
When reviewing record of patient with ovarian cancer the nurse recognizes which s/s as
being a typical manifestation of the disease?
- Diarrhea
- Hypermenorrhea
- Abnormal bleeding
- Abdominal distension
Correct Answers
Client is diagnosed with Stage 1 Lyme disease. Which treatment will be included in plan
of care?
- Ultraviolet therapy
- No treatment unless symptoms develop
- Treatment with IV penicillin G
- A 3 to 4 week course of oral antibiotic therapy
A 3-4 week course of oral antibiotic therapy
Nurse is providing dietary instructions to patient with renal calculi, lab analysis
revealed that the calculus is composed of uric acid. Nurse tells patient to make which
dietary changes?
- ↑ intake of seafood in the diet
- ↑ intake of legumes in diet
- Include organ meat type food in diet
- ↑ intake of cranberries & citrus fruits
↑ intake of legumes in diet
Patient is being discharged following catara removal & the nurse is providing home
care instructions.Which statement indicates understanding of instructions
- "I will take aspirin if I have any discomfort"
- "I will sleep on the that I was operated on"
,- "I will not lift anything if it weighs more than 10 pounds"
- "I will wear my eye shield at night & my glasses during the day"
"I will wear my eye shield at night & my glasses during the day"
After renal biopsy patient complains of ain at the biopsy site, which radiate to the front
of the abdomen. Which would this indicate?
- Bleeding
- Infection
- Renal colic
- Normal, expected pain
Bleeding
Nurse notes that a patient has a positive reaction to Mantoux tuberculin skin test.
Which action by the is the priority?
- Report the findings
- Document the finding in the patients record
- Call the employee health services department
- Call the radiology department for chest x-ray
Report the findings
Nurse is monitoring the function of chest drainage system after a thoracotomy with
wedge resection. Which findings should the nurse expect to note? (Select all that apply)
- Excessive bubbling in water-seal chamber
- Vigorous bubbling in suction control chamber
,- 50mL of drainage in the drainage collection chamber
- The drainage system is maintained below the patients chest
- An occlusive dressing is in place over chest tube insertion site
- Fluctuation of H₂O in the tube of the water-seal chamber during inhalation &
exhalation
- 50mL of drainage in the drainage collection chamber
- The drainage system is maintained below the patients chest
- An occlusive dressing is in place over chest tube insertion site
- Fluctuation of H₂O in the tube of the water-seal chamber during inhalation & exhalation
Which s/s should the nurse expect to note when collecting data on a patient with
Addison's disease?
- Edema & weight gain
- Hypotension & vomitting
- Obesity & muscle hypertrophy
- Hirsutism & excessive hunger
Hypotension & vomitting
Which is s/s is observed in clonic phase of seizure?
- Body stiffening
- Sudden loss of consciousness
- Brief flexion of the extremities
- Extension spasms of the body
Extension spasms of the body
, Nurse is reviewing lab results of a patient with leukemia who has recieved a regimen of
a chemotherapy. Which lab finding would provide info about massive cell destruction
that occurs with the chemotherapy?
- Anemia
- Decreased platelets
- Increased uric acid level
- Decreased leukocyte count
Increased uric acid level
A LPN is preparing to assist RN with removing a NG tube from the patient. The LPN
should reinforce instructing the patient to preform which?
- Exhale
- Inhale & exhale quickly
- Take & hold a deep breath
- Preform Valsalva's maneuver
Take & hold deep breath
When reviewing record of patient with ovarian cancer the nurse recognizes which s/s as
being a typical manifestation of the disease?
- Diarrhea
- Hypermenorrhea
- Abnormal bleeding
- Abdominal distension
