lOMoAR cPSD| 28505380
lOMoAR cPSD| 28505380
NCLEX RN Adult Medical Surgical 2023
Med-Surg III – Proctor
1. A nurse is planning care for a client who is 1 day postoperative following an open
cholecystectomy. Which of the following interventions should the nurse include in the
plan of care?
– Discourage leg exercises while in bed
– Place pillows under the client’s knees
– Avoid use of anticoagulants
– Apply compressing stockings to the lower extremities
2. A nurse is providing discharge teaching to a client who will be self-administering
insulin at home. Which of the following information should the nurse include
regarding needle disposal?
– Remove the needle from the syringe before you place it in the trash
– You can discard needles in an empty bleach bottle with a lid
– Place your storage container in a recycle bin when it is full
– Secure the cap tightly over the needle before you discard it
3. A nurse is reviewing the laboratory reports of a client who has acute pancreatitis.
Which of the following findings should the nurse expect?
– Decreased erythrocyte sedimentation rate
– Decreased serum amylase
– Elevated blood glucose
– Elevates serum calcium
4. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus
about the sick-day rules. Which of the following statements by the client indicates an
understanding of the teaching?
– I will consume 250 grams of carbohydrates daily while I’m sick
– I will monitor my blood glucose every 8 hours
– I will check my urine for ketones in my blood glucose is greater than 240 mg/dL
– I will not take my diabetes medications while I am sick
, lOMoAR cPSD| 28505380
5. A nurse is planning health promotion education for a population that is primarily
African-American men. The nurse should plan to include teaching on prevention of
which of the following disorders?
– Hypothyroidism
– Hypertension
– Sickle cell anemia
– Cystic fibrosis
6. A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which of the following actions should the nurse take first?
– Turn the client to his left side
– Clamp the catheter
– Perform an ECG
– Obtain ABG values
7. A nurse is performing an ear irrigation for a client. Which of the following actions
should the nurse take?
– Tilt the client’s head 45 degrees
– Point the tip of the syringe toward the top of the ear canal
– Insert the tip of the syringe 2.5 cm (1 in) into the ear canal
– Use cool fluid for irrigation
8. A nurse is caring for a client who has an arteriovenous graft. Which of the following
findings indicates adequate circulation of the graft?
– Absence of a bruit
– Palpable thrill
– Normotensive blood pressure
– Dilated appearance of the graft
9. A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first?
– Monitor urine output
– Administer IV therapy
– Insert a large-bore IV catheter
– Obtain a blood specimen for type and crossmatch
, lOMoAR cPSD| 28505380
10. A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates that the client is experiencing hypoglycemia?
– Fruity odor to breath
– Abdominal cramping
– Increased perspiration
– Dehydration
11. A nurse is assessing an older adult client at a health fair. Which of the following
statements by the client is the nurse’s priority?
– I’ve noticed that there is a gray ring around the colored part of my eye
– I can’t seem to get reading materials far enough away to see the words
– I’m having more difficulty telling the difference between blues and greens
– In the last day, I have had a severe headache and pain around my right eye
12. A nurse is providing dietary teaching to a client who is at risk for developing cancer.
Which of the following instruction should the nurse indicate?
– Eat 1 cup of fruits and vegetables each day
– Choose solid fats when cooking
– Select lean meats
– Consume foods low in fiber
13. A hospice nurse is visiting the caregiver of a client who died (6) months ago. Which of
the following statements made by the caregiver suggests an uncomplicated grief
response?
– It’s been months and I still cannot believe they are gone
– I have joined a grief support group at my church
– I am taking time off work for a while
– I started taking art lessons
14. A nurse is planning care for a client who is 8 hr. postoperative following a coronary
artery bypass grafting. Which of the following assessments should the nurse plan to
perform first?
– Palpate pulses distal to the graft donor site
– Auscultate breath sounds
– Examine the surgical incision for drainage
– Measure the client’s core body temperature
lOMoAR cPSD| 28505380
NCLEX RN Adult Medical Surgical 2023
Med-Surg III – Proctor
1. A nurse is planning care for a client who is 1 day postoperative following an open
cholecystectomy. Which of the following interventions should the nurse include in the
plan of care?
– Discourage leg exercises while in bed
– Place pillows under the client’s knees
– Avoid use of anticoagulants
– Apply compressing stockings to the lower extremities
2. A nurse is providing discharge teaching to a client who will be self-administering
insulin at home. Which of the following information should the nurse include
regarding needle disposal?
– Remove the needle from the syringe before you place it in the trash
– You can discard needles in an empty bleach bottle with a lid
– Place your storage container in a recycle bin when it is full
– Secure the cap tightly over the needle before you discard it
3. A nurse is reviewing the laboratory reports of a client who has acute pancreatitis.
Which of the following findings should the nurse expect?
– Decreased erythrocyte sedimentation rate
– Decreased serum amylase
– Elevated blood glucose
– Elevates serum calcium
4. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus
about the sick-day rules. Which of the following statements by the client indicates an
understanding of the teaching?
– I will consume 250 grams of carbohydrates daily while I’m sick
– I will monitor my blood glucose every 8 hours
– I will check my urine for ketones in my blood glucose is greater than 240 mg/dL
– I will not take my diabetes medications while I am sick
, lOMoAR cPSD| 28505380
5. A nurse is planning health promotion education for a population that is primarily
African-American men. The nurse should plan to include teaching on prevention of
which of the following disorders?
– Hypothyroidism
– Hypertension
– Sickle cell anemia
– Cystic fibrosis
6. A nurse is caring for a client who has a central venous access device and notes the
tubing has become disconnected. The client develops dyspnea and tachycardia.
Which of the following actions should the nurse take first?
– Turn the client to his left side
– Clamp the catheter
– Perform an ECG
– Obtain ABG values
7. A nurse is performing an ear irrigation for a client. Which of the following actions
should the nurse take?
– Tilt the client’s head 45 degrees
– Point the tip of the syringe toward the top of the ear canal
– Insert the tip of the syringe 2.5 cm (1 in) into the ear canal
– Use cool fluid for irrigation
8. A nurse is caring for a client who has an arteriovenous graft. Which of the following
findings indicates adequate circulation of the graft?
– Absence of a bruit
– Palpable thrill
– Normotensive blood pressure
– Dilated appearance of the graft
9. A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first?
– Monitor urine output
– Administer IV therapy
– Insert a large-bore IV catheter
– Obtain a blood specimen for type and crossmatch
, lOMoAR cPSD| 28505380
10. A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates that the client is experiencing hypoglycemia?
– Fruity odor to breath
– Abdominal cramping
– Increased perspiration
– Dehydration
11. A nurse is assessing an older adult client at a health fair. Which of the following
statements by the client is the nurse’s priority?
– I’ve noticed that there is a gray ring around the colored part of my eye
– I can’t seem to get reading materials far enough away to see the words
– I’m having more difficulty telling the difference between blues and greens
– In the last day, I have had a severe headache and pain around my right eye
12. A nurse is providing dietary teaching to a client who is at risk for developing cancer.
Which of the following instruction should the nurse indicate?
– Eat 1 cup of fruits and vegetables each day
– Choose solid fats when cooking
– Select lean meats
– Consume foods low in fiber
13. A hospice nurse is visiting the caregiver of a client who died (6) months ago. Which of
the following statements made by the caregiver suggests an uncomplicated grief
response?
– It’s been months and I still cannot believe they are gone
– I have joined a grief support group at my church
– I am taking time off work for a while
– I started taking art lessons
14. A nurse is planning care for a client who is 8 hr. postoperative following a coronary
artery bypass grafting. Which of the following assessments should the nurse plan to
perform first?
– Palpate pulses distal to the graft donor site
– Auscultate breath sounds
– Examine the surgical incision for drainage
– Measure the client’s core body temperature
