NURS 242:MED SURG EXAM|NCLEX
QUESTIONS ACCURATELY
ANSWERED GRADED A
NCLEX Questions
1. The healthcare provider prepares to administer a pneumococcal vaccine to a 65-
year-old patient who has a diagnosis of chronic bronchitis. The patient states, "I
got that vaccine 5 years ago." What is the most appropriate response by the
healthcare provider?
a. "Your last shot was when you were 60, so a repeat vaccination is
recommended."
b. "We can give you a flu shot instead of a pneumococcal vaccination."
c. "This vaccination is given every other year to anyone with lung disease."
d. "You will need this vaccination annually, just like the flu shot."
2. Before receiving a transfusion of whole blood, the laboratory and blood bank
require a sample of the patient's blood. Which test will be run?
a. Blood type and crossmatch
b. Blood culture and sensitivity analysis
c. Complete blood count (CBC) and differential
d. Blood type and antibody screen
3. Which of the following statements by the parent of a pediatric patient indicates
further education is needed?
a. "My child might become restless if he is having trouble breathing."
b. "Coughing that won't stop can be a sign of an asthma attack."
c. "I might hear my child wheeze during an asthma attack."
d. "I should expect my child's peak expiratory flow to increase during
attack."
4. During an acute exacerbation of inflammatory bowel disease, a patient is to
receive total parenteral nutrition (TPN) and lipids. Which of these interventions is
the priority when caring for this patient?
a. Monitor urine specific gravity every shift
b. Monitor the patient's blood glucose per protocol
c. Change the administration set every 72 hours
d. Infuse the solution in a large peripheral vein
5. Which of these would be most important to include in discharge teaching for a
patient with a platelet count of 40,000mcL (40 x 10^9/L)?
a. "You may continue to shave with a straight edge razor"
b. "Be sure to take your aspirin with meals daily"
c. "Use a soft toothbrush and floss gently"
d. "You should take a multivitamin daily"
6. When caring for a patient receiving intravenous chemotherapy for cancer, the
healthcare provider will plan to administer the prescribed antiemetic to the patient
a. One half hour after the infusion has started.
QUESTIONS ACCURATELY
ANSWERED GRADED A
NCLEX Questions
1. The healthcare provider prepares to administer a pneumococcal vaccine to a 65-
year-old patient who has a diagnosis of chronic bronchitis. The patient states, "I
got that vaccine 5 years ago." What is the most appropriate response by the
healthcare provider?
a. "Your last shot was when you were 60, so a repeat vaccination is
recommended."
b. "We can give you a flu shot instead of a pneumococcal vaccination."
c. "This vaccination is given every other year to anyone with lung disease."
d. "You will need this vaccination annually, just like the flu shot."
2. Before receiving a transfusion of whole blood, the laboratory and blood bank
require a sample of the patient's blood. Which test will be run?
a. Blood type and crossmatch
b. Blood culture and sensitivity analysis
c. Complete blood count (CBC) and differential
d. Blood type and antibody screen
3. Which of the following statements by the parent of a pediatric patient indicates
further education is needed?
a. "My child might become restless if he is having trouble breathing."
b. "Coughing that won't stop can be a sign of an asthma attack."
c. "I might hear my child wheeze during an asthma attack."
d. "I should expect my child's peak expiratory flow to increase during
attack."
4. During an acute exacerbation of inflammatory bowel disease, a patient is to
receive total parenteral nutrition (TPN) and lipids. Which of these interventions is
the priority when caring for this patient?
a. Monitor urine specific gravity every shift
b. Monitor the patient's blood glucose per protocol
c. Change the administration set every 72 hours
d. Infuse the solution in a large peripheral vein
5. Which of these would be most important to include in discharge teaching for a
patient with a platelet count of 40,000mcL (40 x 10^9/L)?
a. "You may continue to shave with a straight edge razor"
b. "Be sure to take your aspirin with meals daily"
c. "Use a soft toothbrush and floss gently"
d. "You should take a multivitamin daily"
6. When caring for a patient receiving intravenous chemotherapy for cancer, the
healthcare provider will plan to administer the prescribed antiemetic to the patient
a. One half hour after the infusion has started.
