Med-Surg NCLEX Exam 1 Questions with
Correct Answers
A pre-op nurse is caring for a patient who is having a colon resection. Which of the
following actions should the nurse take?
A. Encourage the patient to void after pre-op medication administration
B. Administer antibiotics 2 hours prior to surgical incision
C. Remove hair using a manual razor
D. Remove nail polish on fingers and toes
D
A nurse is assessing a patient's lab values before surgery. Which of the following results
should the nurse report to the provider? (SATA)
A. Potassium 6.0 mEq/L
B. Sodium 145 mEq/L
C. Creatinine 2.8 mg/dL
D. Blood Glucose 235 mg/dL
E. WBC 17,850/mm3
A, D, E
A nurse is verifying informed consent for a patient who is having a paracentesis. Which
of the following actions should the nurse take? (SATA)
A. Explain to the patient the purpose of having the procedure
B. Inform the patient of risks to having the procedure
C. Ensure the patient understands information about the procedure
D. Witness the patient signing the informed consent form
E. Determine if the client is capable of understanding the reason for the procedure
, C, D, E
A nurse is planning care for a patient to prevent post-op atelectasis. Which of the
following interventions should the nurse include in the plan of care? (SATA)
A. Encourage use of incentive spirometer ever 2 hours
B. Instruct the patient to splint the incision when coughing and deep breathing
C. Reposition the patient ever 2 hours
D. Administer antibiotic therapy
E. Assist with early ambulation
A, B, C, E
A nurse is caring for a patient who arrived in the PACU following a total hip
arthroplasty. The patient is not responding to verbal stimuli. Which of the following
actions should the nurse perform first?
A. Compare and contrast the peripheral pulses
B. Apply a warm blanket
C. Assess dressing
D. Place the client in a lateral position
D
A nurse is caring for a patient who manifests indications of hypovolemia while in the
PACU. Which of the following findings requires actions by the nurse? (SATA)
A. Urine output < 25 mL an hour
B. Hematocrit 53%
C. BUN 35 mg/dL
D. Tenting of the skin over the sternum
E. Apical pulse rate 90/min
Correct Answers
A pre-op nurse is caring for a patient who is having a colon resection. Which of the
following actions should the nurse take?
A. Encourage the patient to void after pre-op medication administration
B. Administer antibiotics 2 hours prior to surgical incision
C. Remove hair using a manual razor
D. Remove nail polish on fingers and toes
D
A nurse is assessing a patient's lab values before surgery. Which of the following results
should the nurse report to the provider? (SATA)
A. Potassium 6.0 mEq/L
B. Sodium 145 mEq/L
C. Creatinine 2.8 mg/dL
D. Blood Glucose 235 mg/dL
E. WBC 17,850/mm3
A, D, E
A nurse is verifying informed consent for a patient who is having a paracentesis. Which
of the following actions should the nurse take? (SATA)
A. Explain to the patient the purpose of having the procedure
B. Inform the patient of risks to having the procedure
C. Ensure the patient understands information about the procedure
D. Witness the patient signing the informed consent form
E. Determine if the client is capable of understanding the reason for the procedure
, C, D, E
A nurse is planning care for a patient to prevent post-op atelectasis. Which of the
following interventions should the nurse include in the plan of care? (SATA)
A. Encourage use of incentive spirometer ever 2 hours
B. Instruct the patient to splint the incision when coughing and deep breathing
C. Reposition the patient ever 2 hours
D. Administer antibiotic therapy
E. Assist with early ambulation
A, B, C, E
A nurse is caring for a patient who arrived in the PACU following a total hip
arthroplasty. The patient is not responding to verbal stimuli. Which of the following
actions should the nurse perform first?
A. Compare and contrast the peripheral pulses
B. Apply a warm blanket
C. Assess dressing
D. Place the client in a lateral position
D
A nurse is caring for a patient who manifests indications of hypovolemia while in the
PACU. Which of the following findings requires actions by the nurse? (SATA)
A. Urine output < 25 mL an hour
B. Hematocrit 53%
C. BUN 35 mg/dL
D. Tenting of the skin over the sternum
E. Apical pulse rate 90/min
