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NCLEX MED SURGE PROCTORED EXAM UPDATE 2023/2024

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1. A nurse is collecting data from a client who has open-angle glaucoma. Which of the following findings should the nurse expect? 1) Loss of peripheral vision 2) Headache 3) Halos around lights 4) Discomfort in the eyes 2. A nurse is collecting data from a client who has acute gastroenteritis. Which of the following data collection findings should the nurse identify as the priority? 1) Weight loss of 3% of total body weight. 2) Blood glucose 150 mg/dL. 3) Potassium 2.5 mEq/L 4) Urine specific gravity 1.035 3. A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching? 1) "I should increase my intake of protein and vitamin C." 2) "I will no longer have menstrual periods." 3) "Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort." 4) "I will take a tub bath instead of a shower." 4. A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse take? 1) Loosen the knots on the ropes if the client is experiencing pain. 2) Ensure the client’s weights are hanging freely from the bed. 3) Check the client’s bony prominences every 12 hr. 4) Cleanse the client’s pin sites with povidone-iodine.

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NCLEX MED SURGE PROCTORED EXAM

1. A nurse is collecting data from a client who has open-angle glaucoma.
Which of the following findings should the nurse expect?
1) Loss of peripheral vision
2) Headache
3) Halos around lights
4) Discomfort in the eyes

2. A nurse is collecting data from a client who has acute gastroenteritis.
Which of the following data collection findings should the nurse identify
as the priority?
1) Weight loss of 3% of total body weight.
2) Blood glucose 150 mg/dL.
3) Potassium 2.5 mEq/L
4) Urine specific gravity 1.035

3. A nurse is reinforcing discharge teaching with a client who had a total
abdominal hysterectomy and a vaginal repair. Which of the following
statements by the client indicates a need for further teaching?
1) "I should increase my intake of protein and vitamin C."
2) "I will no longer have menstrual periods."
3) "Once I am able to resume sexual activity, I can use a water-based
lubricant if I experience discomfort."
4) "I will take a tub bath instead of a shower."




4. A nurse is assisting with the care of a client who has a femur fracture and
is in skeletal traction. Which of the following actions should the nurse
take?
1) Loosen the knots on the ropes if the client is experiencing pain.
2) Ensure the client’s weights are hanging freely from the bed.
3) Check the client’s bony prominences every 12 hr.
4) Cleanse the client’s pin sites with povidone-iodine.




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, 5. A nurse in a provider’s office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.

6. A nurse in a provider’s office is reinforcing teaching with a client who
has anemia and has been taking ferrous gluconate for several weeks.
Which of the following instructions should the nurse include?
1) Take this medication between meals.
2) Limit intake of Vitamin C while taking this medication.
3) Take this medication with milk.
4) Limit intake of whole grains while taking this medication.

7. A nurse is reviewing the plan of care for a client who has cellulitis of the
leg. Which of the following interventions should the nurse recommend?
1) Apply topical antifungal agents.
2) Apply fresh ice packs every 4 hr.
3) Wash daily with an antibacterial soap.
4) Keep draining lesions uncovered to air dry.

8. A nurse is reinforcing teaching with a client who is postoperative after
having an ileostomy established. Which of the following instructions
should the nurse include in the teaching?
1) Empty the pouch immediately after meals.
2) Change the entire appliance once a day.
3) Limit fluid intake.
4) Avoid medications in capsule or enteric form




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