Med-Surg NCLEX Study Guide Questions with
Correct Answers
A nurse calculates that the 24hr total oral fluid intake for an afebrile 110 lb client has
been 1725 mL. Which of the following is accurate?
2. The client's oral intake is adequate for the client's weight.
Potassium rich foods
2. "I need to have more fruits like bananas and nectarines."
Following a subtotal thyroidectomy, which client statement is most indicative that the
client is experiencing hypoglycemia?
"My lips feel numb and tingly"
The suspects that the clients magnesium level is elevated because of which symptoms?
1. Bradycardia
2. Hypotension
Results of a client's ECG show a tall T wave, For which of the following electrolytes
would the nurse suspect an imbalance?
1. Potassium
The physician ordered all of the following test on a client with septic shock, which test
results is most important for the nurse to review?
1. WBC
A physician orders 0.3mg of epinephrine SC stat for a client experiencing anaphylaxis.
Calculate the amount the nurse should administer if the label indicates the drug is
supplied in a 1:1000 strength solution?
, 0.3 mL
A client that has been in a severe accident will most likely experience what kind of
shock?
1. Hypovolemic Shock
Which of the following are signs manifested by the client in most types of shock?
1. Low urine output
2. Tachycardia
3. Hypotension
4. Weak pulse
If an adequate urine output is 0.5mL/kg/hour, calculate the expected hourly urine
output for a client recovering from shock who weighs 185lbs?
60mL
When auscultating the chest of the client with pericarditis, which of the following will
the nurse most likely to hear?
1. Friction rub
Which question asked by the nurse is most important initially when obtaining the
medical history of a client with endocarditis?
4. "Have you had any cuts or bruises?
Which interventions should the nurse perform on a client with cardiomyopathy that
receives a loop diuretic?
Correct Answers
A nurse calculates that the 24hr total oral fluid intake for an afebrile 110 lb client has
been 1725 mL. Which of the following is accurate?
2. The client's oral intake is adequate for the client's weight.
Potassium rich foods
2. "I need to have more fruits like bananas and nectarines."
Following a subtotal thyroidectomy, which client statement is most indicative that the
client is experiencing hypoglycemia?
"My lips feel numb and tingly"
The suspects that the clients magnesium level is elevated because of which symptoms?
1. Bradycardia
2. Hypotension
Results of a client's ECG show a tall T wave, For which of the following electrolytes
would the nurse suspect an imbalance?
1. Potassium
The physician ordered all of the following test on a client with septic shock, which test
results is most important for the nurse to review?
1. WBC
A physician orders 0.3mg of epinephrine SC stat for a client experiencing anaphylaxis.
Calculate the amount the nurse should administer if the label indicates the drug is
supplied in a 1:1000 strength solution?
, 0.3 mL
A client that has been in a severe accident will most likely experience what kind of
shock?
1. Hypovolemic Shock
Which of the following are signs manifested by the client in most types of shock?
1. Low urine output
2. Tachycardia
3. Hypotension
4. Weak pulse
If an adequate urine output is 0.5mL/kg/hour, calculate the expected hourly urine
output for a client recovering from shock who weighs 185lbs?
60mL
When auscultating the chest of the client with pericarditis, which of the following will
the nurse most likely to hear?
1. Friction rub
Which question asked by the nurse is most important initially when obtaining the
medical history of a client with endocarditis?
4. "Have you had any cuts or bruises?
Which interventions should the nurse perform on a client with cardiomyopathy that
receives a loop diuretic?
