Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success

A client with ascites is scheduled for a paracentesis. Which instruction should be given to the client before the procedure? a "You will need to lay flat during the procedure." b. "You need to empty your bladder before the procedure." c. "You will be asleep during the procedure." d. "The doctor will inject a medication during the procedure." - CORRECT ANSWERS b. "You need to empty your bladder before the procedure." A client's lab values reveal Hgb 12.6, WBC , K+ 1.9, uric acid 7.0, Na+ 136, and platelets 178,. The nurse evaluates that the client is experiencing which of the following? Hypernatremia b Hypokalemia Myelosuppression Leukopenia - CORRECT ANSWERS b Hypokalemia Due to a high census, it has been necessary for a number of clients to be transferred to other units within the hospital. Which client should be transferred to the postpartum unit? a A 66-year-old female with gastroenteritis b A 40-year-old female with a hysterectomy c A 27-year-old male with severe depression d A 28-year-old male with ulcerative colitis - CORRECT ANSWERS b A 40-year-old female with a hysterectomy Before administering Theo-Dur (theophylline), the nurse should check the patient's: a output b Blood pressure c Pulse d Temperature - CORRECT ANSWERS c Pulse Which information should be given to the patient undergoing radiation therapy for breast cancer? Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success a Avoid exposing radiation areas to sunlight during treatment time and for a year after completion of therapy b Moisturize the radiation site with oil-based lotion to prevent blistering c Use bath oil when tub bathing to prevent drying and peeling d Report redness and soreness of the area to the physician - CORRECT ANSWERS a Avoid exposing radiation areas to sunlight during treatment time and for a year after completion of therapy The charge nurse is making assignments for the day. After accepting the assignment to care for a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take? a Change the nurse's assignment to another client. b Explain to the nurse that there is no risk to the client. c Ask the nurse if the chickenpox have crusted. d Ask the nurse if she has ever had the chickenpox. - CORRECT ANSWERS d Ask the nurse if she has ever had the chickenpox. Which statement is true regarding therapy with Levemir (insulin detemir)? a The onset is 1-2 hours. b It may be mixed with regular insulin. c It peaks in 2-3 hours. d The duration is 24 hours. - CORRECT ANSWERS d The duration is 24 hours. Which client should be assigned to the nursing assistant? a The 18-year-old with a fracture to two cervical vertebrae b The infant with meningitis with a temperature of 101°F c The elderly client with a thyroidectomy four days ago d The client with a thoracotomy two days ago - CORRECT ANSWERS c The elderly client with a thyroidectomy four days ago The physician has ordered the Schilling test for a patient with suspected pernicious anemia. What other vitamin level is often assessed at the same time as the B12 level? a Folic acid Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success b Pyridoxine c Ascorbic acid d Thiamine - CORRECT ANSWERS a Folic acid A 25-year-old client arrives in the emergency room with a possible fracture of the right femur. The nurse should anticipate an order for: a Bryant's traction b Ice to the entire extremity c Buck's traction d An abduction pillow - CORRECT ANSWERS c Buck's traction Which statement should be included in the teaching session of a client scheduled for a renal biopsy? a "You will be placed in a sitting position for the biopsy." b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy." c "You will be asleep during the procedure." d "You will not be able to drink fluids for 24 hours following the study." - CORRECT ANSWERS b "You may experience a feeling of pressure or discomfort during aspiration of the biopsy." The nurse is caring for the client who has been in a coma for two months. He has signed a donor card, but the wife is opposed to the idea of organ donation. How should the nurse handle the topic of organ donation with the wife? a Tell the wife that the hospital will honor her wishes regarding organ donation, but contact the organ-retrieval staff. b Tell her that because her husband signed a donor card, the hospital has the right to take the organs upon the death of her husband. c Explain that it is necessary for her to donate her husband's organs because he signed the permit. d Refrain from talking about the subject until after the death of her husband. - CORRECT ANSWERS a Tell the wife that the hospital will honor her wishes regarding organ donation, but contact the organ-retrieval staff. The client is admitted with chronic obstructive pulmonary disease. Blood gases reveal pH 7.36, CO2 45, O2 84, bicarb 28. The nurse would assess the client to be in: a Uncompensated acidosis Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success b Compensated alkalosis c Compensated metabolic acidosis d Uncompensated metabolic acidosis - CORRECT ANSWERS c Compensated metabolic acidosis Before administering intravenous chemotherapy to the patient being treated, the nurse should: a Administer a bolus of IV fluid. b Administer pain medication. c Administer an antiemetic. d Allow the patient a chance to eat. - CORRECT ANSWERS c Administer an antiemetic. Which one of the following statements is correct when measuring the client for crutches? a A distance of five fingerbreadths should exist between the top of the crutch and the axilla. b The nurse should measure three inches between the top of the crutch and the axilla. c The client's elbows should be flexed at a 10°angle. d The crutches should be extended 8 to 10 inches from the side of the foot. - CORRECT ANSWERS b The nurse should measure three inches between the top of the crutch and the axilla. A patient of Greek descent has been prescribed Bactrim (sulfamethoxazole-trimethoprim) for treatment of a urinary tract infection. Before beginning the medication, the patient should be assessed for which of the following disorders? a G6PD deficiency b β-thalassemia c Sickle cell anemia d Von Willebrand disease - CORRECT ANSWERS a G6PD deficiency The physician has ordered Coumadin (sodium warfarin) for a client with thrombophlebitis. The order should be entered to administer the medication at: a 0900 b 1200 c 1700 d 2100 - CORRECT ANSWERS c 1700 Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success Which medication is often used to treat the client with N.gonorrhea? a Sitavig (acyclovir) b Vibramycin (doxycycline) c Retrovir (zidovudine) d Aldara (imiquimod) - CORRECT ANSWERS b Vibramycin (doxycycline) The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because: a Grimacing and writhing movements decrease with relaxation and rest. b Hypoactive deep tendon reflexes become more active with rest. c Stretch reflexes are increased with rest. d Fine motor movements are improved by rest. - CORRECT ANSWERS a Grimacing and writhing movements decrease with relaxation and rest. The nurse is assisting in the care of a patient who is two days post-operative from a hemorrhoidectomy. The nurse would be correct in instructing the patient to: a Avoid a high-fiber diet b Continue to apply ice packs c Take a laxative daily to p revent constipation d Use a sitz bath after each bowel movement - CORRECT ANSWERS d Use a sitz bath after each bowel movement A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which finding should be reported to the doctor? a A WBC of 14,000 . b Auscultation of abdominal bruit c Complaints of lower back pain d A platelet count of 175,000 . - CORRECT ANSWERS a A WBC of 14,000 . The nurse is performing an assessment on a client with possible pernicious anemia. Which finding is specific to pernicious anemia? Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success a A weight loss of 10 pounds in six months b Fatigue c Glossitis d Pallor - CORRECT ANSWERS c Glossitis The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for? a A client with Alzheimer's disease b A client with pneumonia c A client with cirrhosis d A client with thrombophlebitis - CORRECT ANSWERS a A client with Alzheimer's disease The client is diagnosed with multiple myeloma. The doctor has ordered cyclophosphamide (Cytoxan). Which instruction should be given to the client? a "Walk about a mile a day to prevent calcium loss." b "Increase the fiber in your diet." c "Report nausea to the doctor immediately." d "Drink at least eight large glasses of water a day." - CORRECT ANSWERS d "Drink at least eight large glasses of water a day." While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse's initial action should be to: a Report the findings to the physician b Recheck the vital signs in one hour c Ask the patient if he is in pain d Compare the current vital signs with those on admission - CORRECT ANSWERS a Report the findings to the physician The charge nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should: a Change the nursing assistant's assignment b Explore the interaction with the nursing assistant Pearson Exam Cram Nclex Rn Test #1 Med Surg Questions And Answers Latest Update 2024/2025 All Answers Correct Detailed Best Graded A+ For Success c Discuss the matter with the client's family d Initiate a group session with the nursing assistant - CORRECT ANSWERS b Explore the interaction with the nursing assistant Which action by the home health nurse indicates a knowledge of the needs of an elderly client? a Teaching regarding availability and services offered by hospice care b Speaking in a higher pitched voice tone to facilitate hearing c Encouraging fluid restriction to prevent nighttime voiding d Reinforcing teaching regarding the prevention of falls - CORRECT ANSWERS d Reinforcing teaching regarding the prevention of falls A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction? Peanut butter cookies Grilled cheese sandwich Cottage cheese and fruit Fresh peach - CORRECT ANSWERS Fresh peach The nurse can help alleviate the discomfort the client is experiencing associated with xerostomia by: Limiting fluid intake Administering an analgesic Splinting swollen joints Providing sugarless hard candy - CORRECT ANSWERS Providing sugarless hard candy dry mouth The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation? Pedal pulses regular Urinary output 20mL in the past hour Blood pressure 108/50