NCLEX-RN & Med-Surg Examination 2023

NCLEX-RN & Med-Surg Examination 2023 The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first? 1. A postoperative client preparing for discharge with a new medication. 2. A client requiring daily dressing changes of a recent surgical incision. 3. A client scheduled for a chest x-ray after insertion of an NG tube. 4. A client with asthma who requested a breathing treatment during the previous shift. - Correct answer-4 *Airway is always the highest priority NCLEX-RN #27, pg. 72 The nurse employed in an emergency department is assigned to triage clients coming to the ED for treatment on the evening shift. The nurse should assign priority to which client? 1. A client complaining of muscle aches, a headache, and history of seizures. 2. A client who twisted her ankle when rollerblading and is requesting medication for pain. 3. A client with a minor laceration on the index finger sustained while cutting an eggplant. 4. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce. - Correct answer-4 *Chest pain is always considered Emergent NCLEX-RN #29, pg. 72 The nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first? 1. A client who is ambulatory demonstrating steady gait. 2. A postoperative client who has just received an opioid pain medication. 3. A client scheduled for physical therapy for the first crutch-walking session. 4. A client with a WBC count of 14,000 and a temperature of 38.4C - Correct answer-4 *Elevated WBC and fever NCLEX-RN #474, pg. 562 The nurse is conducting a session about the principles of first aid and is discussing the interventions for a snakebite to an extremity. The nurse would inform those attending the session that the first priority intervention in the event of this occurrence is which action? 1. Immobilize the affected extremity. 2. Remove jewelry and constricting clotting from the victim. 3. Place the extremity in a position so that it is below the level of the heart. 4. Move the victim to a safe area away from the snake and encourage the victim to rest. - Correct answer-4 *Safety is the first priority NCLEX-RN #481, pg. 563 A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand? 1. A pink, edematous hand. 2. Fiery red skin with edema in the nail beds. 3. Black fingertips surrounded by an erythematous rash. 4. A white color to the skin, which is insensitive to touch. - Correct answer-4 *White or blue color is common NCLEX-RN #483, pg. 563 An adult client was burned in an explosion. The burn initially affected the client's entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client's clothes caught fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the rule of nines, what would be the extent of the burn injury? 1. 18% 2. 24% 3. 36% 4. 48% - Correct answer-3 NCLEX-RN #484, pg. 563