Medical-Surgical Nursing Final Exam – Evolve
NCLEX-Style & Mastery Practice Questions,
Comprehensive Review & Exam Preparation
(1.1) Which nursing activities may be safely B,
E delegated to competent assistive personnel
(AP)? Select all that apply.
A.) Discharge teaching
B.)Blood pressure monitoring
C.) Gastrostomy feeding
D.)Oxygen administration
E.) Ambulation assistance
,(1.2) A nurse assures a client experiencing A, D, E
abdominal surgical pain that comfort
measures, including drug therapy, will be
provided as the client needs them. Which
ethical principles apply in the situation?
Select all that apply.
A.) Beneficence
B.)Social justice
C.)Autonomy
D.)Fidelity
E.) Veracity
(1.1 M) The nurse provides an SBAR hand-off A
communication regarding a client whose
blood pressure and respiratory rate have
decreased. Where will the nurse include
these data as part of the SBAR format?
A.) Situation
B.) Background
C.)Assessment
D.)Recommendation
(1.2 M) The nurse collaborates with the A, D, E
registered dietitian nutritionist to improve
the nutritional status of clients on a
hospital unit. Which priority professional
nursing concepts apply in this situation?
Select all
that apply.
A.) Quality Improvement
B.) Ethics
C.) Health Care Disparities
D.)Systems Thinking
E.) Teamwork and Collaboration
(2.1) Which environments of care will the A, B, C, E
nurse recognize as components of the
health care system? Select all that apply.
A.) Long-term care
B.)Primary care
C.) Free-standing emergency department
D.)National League of Nursing
E.)Patient-centered medical home
F.) World Health Organization
,(2.2) What is the generalist registered nurse's A, B, C, D, E
role related to patient care within a system?
Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.)Researching
F.) Prescribing
(2.1 M) The nurse is participating in a unit C
meeting to discuss daily nursing care
expectations. Which nursing statement
reflects systems level thinking?
A.) "It is important to provide care
consistent with the client's expectation."
B.)"I will always consider my client's cultural
preferences when delivering care."
C.) "I have been comparing our rates
of infection with other units in the
hospital."
D.)"I will look for the policy about family
visitation to show my client."
(2.2 M) Which nursing action reflects
D implementation of systems level thinking?
A.) Conducting a skin assessment on a
newly admitted client
B.)Documenting a pressure injury in the
electronic health record
C.) Notifying the health care provider of a
2" x 1" pressure injury on the coccyx
D.)Participating in a quality improvement
project about eliminating pressure injury
occurrences
(2.3 M) How will the experienced nurse
D explain systems thinking to a new nurse?
A.) Reading a journal article to
enhance one's understanding of a
specific disorder
B.)Providing patient-centered care to each
individual, recognizing his or her uniqueness
C.) Engaging in a professional development
activity to earn continuing education credit
D.)Using information from individual client
care to improve outcomes at a macro
level
, (3.1) Which assessment findings indicate to A, C, F
the nurse that a client taking warfarin may
have decreased CLOTTING? (Select all that
apply.)
A.) Frequent nosebleeds
B.)Lower leg swelling
C.) Upper extremity bruising
D.)Difficulty breathing
E.)Intermittent chest pain
F.)Dark stools
(3.2) The nurse is conducting assessments A
for clients at potential risk for infection.
Which client is MOST at risk for acquiring an
INFECTION?
A.)A client who had an opened incision for
abdominal surgery
B.) A client who has not been
immunized for pneumonia or influenza
C.)A client who works in a high-stress job
for an accounting practice
D.) A client who is 85 years old and in
good health
(3.3) A client reports increasing diffuse B
pain in the entire right leg. What is the
nurse's PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.)Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.)Notify the Rapid Response
Team immediately
NCLEX-Style & Mastery Practice Questions,
Comprehensive Review & Exam Preparation
(1.1) Which nursing activities may be safely B,
E delegated to competent assistive personnel
(AP)? Select all that apply.
A.) Discharge teaching
B.)Blood pressure monitoring
C.) Gastrostomy feeding
D.)Oxygen administration
E.) Ambulation assistance
,(1.2) A nurse assures a client experiencing A, D, E
abdominal surgical pain that comfort
measures, including drug therapy, will be
provided as the client needs them. Which
ethical principles apply in the situation?
Select all that apply.
A.) Beneficence
B.)Social justice
C.)Autonomy
D.)Fidelity
E.) Veracity
(1.1 M) The nurse provides an SBAR hand-off A
communication regarding a client whose
blood pressure and respiratory rate have
decreased. Where will the nurse include
these data as part of the SBAR format?
A.) Situation
B.) Background
C.)Assessment
D.)Recommendation
(1.2 M) The nurse collaborates with the A, D, E
registered dietitian nutritionist to improve
the nutritional status of clients on a
hospital unit. Which priority professional
nursing concepts apply in this situation?
Select all
that apply.
A.) Quality Improvement
B.) Ethics
C.) Health Care Disparities
D.)Systems Thinking
E.) Teamwork and Collaboration
(2.1) Which environments of care will the A, B, C, E
nurse recognize as components of the
health care system? Select all that apply.
A.) Long-term care
B.)Primary care
C.) Free-standing emergency department
D.)National League of Nursing
E.)Patient-centered medical home
F.) World Health Organization
,(2.2) What is the generalist registered nurse's A, B, C, D, E
role related to patient care within a system?
Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.)Researching
F.) Prescribing
(2.1 M) The nurse is participating in a unit C
meeting to discuss daily nursing care
expectations. Which nursing statement
reflects systems level thinking?
A.) "It is important to provide care
consistent with the client's expectation."
B.)"I will always consider my client's cultural
preferences when delivering care."
C.) "I have been comparing our rates
of infection with other units in the
hospital."
D.)"I will look for the policy about family
visitation to show my client."
(2.2 M) Which nursing action reflects
D implementation of systems level thinking?
A.) Conducting a skin assessment on a
newly admitted client
B.)Documenting a pressure injury in the
electronic health record
C.) Notifying the health care provider of a
2" x 1" pressure injury on the coccyx
D.)Participating in a quality improvement
project about eliminating pressure injury
occurrences
(2.3 M) How will the experienced nurse
D explain systems thinking to a new nurse?
A.) Reading a journal article to
enhance one's understanding of a
specific disorder
B.)Providing patient-centered care to each
individual, recognizing his or her uniqueness
C.) Engaging in a professional development
activity to earn continuing education credit
D.)Using information from individual client
care to improve outcomes at a macro
level
, (3.1) Which assessment findings indicate to A, C, F
the nurse that a client taking warfarin may
have decreased CLOTTING? (Select all that
apply.)
A.) Frequent nosebleeds
B.)Lower leg swelling
C.) Upper extremity bruising
D.)Difficulty breathing
E.)Intermittent chest pain
F.)Dark stools
(3.2) The nurse is conducting assessments A
for clients at potential risk for infection.
Which client is MOST at risk for acquiring an
INFECTION?
A.)A client who had an opened incision for
abdominal surgery
B.) A client who has not been
immunized for pneumonia or influenza
C.)A client who works in a high-stress job
for an accounting practice
D.) A client who is 85 years old and in
good health
(3.3) A client reports increasing diffuse B
pain in the entire right leg. What is the
nurse's PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.)Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.)Notify the Rapid Response
Team immediately
