Med-Surg NCLEX Practice Questions with
Correct Answers
How many seconds is one small block on an ECG strip worth?
0.04 seconds
A nurse is evaluating the 12-lead ECG of a client experiencing an inferior wall MI.
While conferring with the health care team, which ECG changes associated with an
evolving MI does the nurse correctly identify? Select all that apply.
1. notched T wave
2. presence of a U wave
3. T-wave inversion
4. prolonged PR interval
5. ST-segment elevation
3
5
Your patient has Raynaud's secondary to systemic lupus. What statement demonstrates
and understanding of the teaching about this disorder?
A. My hands get pale and blue when I am stressed
B. I can't continue to wash dishes and do my cleaning
C. I don't need to report anymore skin problems with my fingers or hands to my skin
care provider
D. I probably got this disorder because I am also diagnosed with lupis
E. This problem is caused by a temporary lack of circulation in my hands
, F. I will have to discuss medication that might treat this condition with my healthcare
provider
A
D
E
F
A nurse is awaiting the arrival of a client from the ED with a Dx of anterior wall MI. In
caring for this client the nurse would be alert for which signs and symptoms of left-
sided HF? Select all that apply.
1. JVD
2. hepatomegaly
3. dyspnea
4. crackles
5. tachycardia
6. skin tenting
3
4
5
A client is admitted to the ED after reporting acute chest pain radiating down the left
arm. The client appears anxious, dyspneic, and diaphoretic. Which laboratory studies
would the nurse anticipate? Select all that apply.
1. hemoglobin and hematocrit
Correct Answers
How many seconds is one small block on an ECG strip worth?
0.04 seconds
A nurse is evaluating the 12-lead ECG of a client experiencing an inferior wall MI.
While conferring with the health care team, which ECG changes associated with an
evolving MI does the nurse correctly identify? Select all that apply.
1. notched T wave
2. presence of a U wave
3. T-wave inversion
4. prolonged PR interval
5. ST-segment elevation
3
5
Your patient has Raynaud's secondary to systemic lupus. What statement demonstrates
and understanding of the teaching about this disorder?
A. My hands get pale and blue when I am stressed
B. I can't continue to wash dishes and do my cleaning
C. I don't need to report anymore skin problems with my fingers or hands to my skin
care provider
D. I probably got this disorder because I am also diagnosed with lupis
E. This problem is caused by a temporary lack of circulation in my hands
, F. I will have to discuss medication that might treat this condition with my healthcare
provider
A
D
E
F
A nurse is awaiting the arrival of a client from the ED with a Dx of anterior wall MI. In
caring for this client the nurse would be alert for which signs and symptoms of left-
sided HF? Select all that apply.
1. JVD
2. hepatomegaly
3. dyspnea
4. crackles
5. tachycardia
6. skin tenting
3
4
5
A client is admitted to the ED after reporting acute chest pain radiating down the left
arm. The client appears anxious, dyspneic, and diaphoretic. Which laboratory studies
would the nurse anticipate? Select all that apply.
1. hemoglobin and hematocrit