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NCLEX-PN MEDICAL SURGICAL NGN
QUESTIONS AND ANSWERS 2025
A nurse is caring for a client who is scheduled for surgery and
is experiencing anxiety. Which of the following interventions
should the nurse identify as the priority? - correct answer-
Determine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has
peripheral arterial disease of the lower extremities. Which of the
following interventions should the nurse include? - correct
answer- Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a
recent left hemispheric stroke. Which of the following actions
should the nurse include in the plan? - correct answer- Use
simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who
is terminally ill about manifestations of impending death. Which
of the following manifestations should the nurse include? -
correct answer- Incontinence of the bowel and bladder
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A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the
risk for aspiration? - correct answer- Pinch the NG tube.
A nurse is caring for a client who is preoperative and is
receiving an IV infusion of cefazolin. Ten minutes after
beginning the infusion, the client reports intense itching. Which
of the following actions should the nurse take first? - correct
answer- Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has
cirrhosis. Which of the following instructions should the nurse
include? - correct answer- "Consume foods that are low in
sodium."
A nurse is reinforcing teaching with a client who is scheduled
for a guaiac fecal occult blood test. Which of the following
instructions should the nurse include in the teaching? - correct
answer- Avoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg
subcutaneously to a client who has an INR of 4. Available is
phytonadione 10 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.) - correct
answer- 0.7 mL
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A nurse is reinforcing teaching with a client who is taking insulin
glargine. Which of the following information should the nurse
include in the teaching? - correct answer- "This type of insulin
should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infection in a surgical wound.
Which of the following information should the nurse plan to
share with visitors? - correct answer- Visitors must don a gown
and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who
reports vaginal dryness and hot flashes. The client is interested
in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to
HRT? - correct answer- History of treatment for blood clots
A nurse is reinforcing teaching about management of
constipation with a client who has hypothyroidism. Which of the
following instructions should the nurse include in the teaching?
- correct answer- Increase intake of fiber-rich foods.
NCLEX-PN MEDICAL SURGICAL NGN
QUESTIONS AND ANSWERS 2025
A nurse is caring for a client who is scheduled for surgery and
is experiencing anxiety. Which of the following interventions
should the nurse identify as the priority? - correct answer-
Determine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has
peripheral arterial disease of the lower extremities. Which of the
following interventions should the nurse include? - correct
answer- Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a
recent left hemispheric stroke. Which of the following actions
should the nurse include in the plan? - correct answer- Use
simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who
is terminally ill about manifestations of impending death. Which
of the following manifestations should the nurse include? -
correct answer- Incontinence of the bowel and bladder
,2 | Page
A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the
risk for aspiration? - correct answer- Pinch the NG tube.
A nurse is caring for a client who is preoperative and is
receiving an IV infusion of cefazolin. Ten minutes after
beginning the infusion, the client reports intense itching. Which
of the following actions should the nurse take first? - correct
answer- Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has
cirrhosis. Which of the following instructions should the nurse
include? - correct answer- "Consume foods that are low in
sodium."
A nurse is reinforcing teaching with a client who is scheduled
for a guaiac fecal occult blood test. Which of the following
instructions should the nurse include in the teaching? - correct
answer- Avoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg
subcutaneously to a client who has an INR of 4. Available is
phytonadione 10 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero.) - correct
answer- 0.7 mL
, 3 | Page
A nurse is reinforcing teaching with a client who is taking insulin
glargine. Which of the following information should the nurse
include in the teaching? - correct answer- "This type of insulin
should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant
Staphylococcus aureus (MRSA) infection in a surgical wound.
Which of the following information should the nurse plan to
share with visitors? - correct answer- Visitors must don a gown
and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who
reports vaginal dryness and hot flashes. The client is interested
in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to
HRT? - correct answer- History of treatment for blood clots
A nurse is reinforcing teaching about management of
constipation with a client who has hypothyroidism. Which of the
following instructions should the nurse include in the teaching?
- correct answer- Increase intake of fiber-rich foods.
