MED SURGICAL NCLEX - SWU P2 (3rd YEAR)
QUESTIONS WITH COMPLETE SOLUTIONS
5. What other symptoms will validate the diagnosis of gastric
ulcer?
A. right epigastric pain
B. pain occurs when stomach is empty
C. pain occurs immediately after meal
D. pain not relieved by vomiting Correct Answer C. pain
occurs immediately after meal
6. What diagnostic test would yield good visualization of the
ulcer crater?
A. Endoscopy
B. Gastroscopy
C. Barium Swallow
D. Histology Correct Answer A. Endoscopy
6. What diagnostic test would yield good visualization of the
ulcer crater?
A. Endoscopy
B. Gastroscopy
C. Barium Swallow
D. Histology Correct Answer A. Endoscopy
642. A client has a history of urolithiasis related to
hyperuricemia. To prevent the formation of future stones, the
nurse instructs the client to avoid which food?
2. Carrots
3. White rice
,4. Skim milk Correct Answer 1. Liver
A 10-day postpartum breast-feeding client telephones the
postpartum unit reporting a reddened, painful breast and
elevated temperature. Based on assessment of the client's
complaints, which action should the nurse tell the client to do?
1. "Breast-feed only with the unaffected breast."
2. "Stop breast-feeding because you probably have an infection."
3. "Notify your health care provider because you may need
medication."
4. "Continue breast-feeding since this is a normal response in
breast-feeding mothers." Correct Answer 3. "Notify your
health care provider because you may need medication."
A 10-year-old child has been diagnosed with type 1 diabetes
mellitus. What instruction should the nurse provide concerning
the monitoring of the child insulin?
1. The child should be taught to self-monitor insulin needs.
2. The parents will need to be available to monitor the child's
insulin needs.
3. The child's school teacher will assume responsibility of
insulin need monitoring.
4. Friends and family will need to be involved with monitoring
the child's insulin needs. Correct Answer 1. The child should
be taught to self-monitor insulin needs.
A 16-year-old client diagnosed with diabetes is admitted for
hyperglycemia. The client states, "I'm fed up with having my
life ruled by diets, doctors' prescriptions, and machines!" Based
on this assessment data, which is the priority client concern?
1. A chronic illness
,2. A personal crisis
3. Feelings of loss of control
4. Lack of understanding about nutrition Correct Answer 3.
Feelings of loss of control
A 16-year-old client with Crohn's disease is hospitalized. Which
statement by the client would alert the nurse to a potential
developmental problem?
1. "I'd like my hair washed before my friends get here."
2. "Is it okay if I have a couple of friends in to visit me this
evening?"
3. "Please tell my friends not to visit, since I'll see them back at
school next week."
4. "When my friends get here, I would like to play some
computer games with them." Correct Answer 3. "Please tell
my friends not to visit, since I'll see them back at school next
week."
A 24-hour-old term infant had a confirmed episode of
hypoglycemia when 1 hour old. Which observation by the nurse
would indicate the need for follow-up?
1. Weight loss of 4 ounces and dry, peeling skin
2. Blood glucose level of 40 mg/dL (2.28 mmol/L) before the
last feeding
3. Breast-feeding for 20 minutes or more, with strong sucking
4. High-pitched cry, drinking 10 to 15 mL of formula per
feeding Correct Answer 4. High-pitched cry, drinking 10 to
15 mL of formula per feeding
A 9-year-old child is newly diagnosed with type 1 diabetes
mellitus. The nurse is planning for home care with the child and
, the family and determines that which is an age-appropriate
activity for health maintenance?
1. Administering insulin drawn up by an adult
2. Self-administering insulin with adult supervision
3. Making independent decisions with regard to sliding-scale
coverage of insulin
4. Having an adult assist in the self-administration of insulin and
glucose monitoring Correct Answer 2. Self-administering
insulin with adult supervision
A child diagnosed with a malignant brain tumor is admitted for
removal of the tumor. The nurse should include which action in
the plan of care to ensure a safe environment for the child?
1. Initiating seizure precautions
2. Using a wheelchair for out-of-bed activities
3. Assisting the child with ambulation at all times
4. Minimizing contact with other children on the nursing unit
Correct Answer 1. Initiating seizure precautions
A child is admitted to the hospital with a suspected diagnosis of
idiopathic thrombocytopenic purpura (ITP) and diagnostic
studies are performed. Which diagnostic result is indicative of
this disorder?
1. An elevated platelet count
2. Elevated hemoglobin and hematocrit levels
3. Bone marrow exam showing increased megakaryocytes
4. Bone marrow exam indicating increased immature white
blood cells Correct Answer 3. Bone marrow exam showing
increased megakaryocytes
QUESTIONS WITH COMPLETE SOLUTIONS
5. What other symptoms will validate the diagnosis of gastric
ulcer?
A. right epigastric pain
B. pain occurs when stomach is empty
C. pain occurs immediately after meal
D. pain not relieved by vomiting Correct Answer C. pain
occurs immediately after meal
6. What diagnostic test would yield good visualization of the
ulcer crater?
A. Endoscopy
B. Gastroscopy
C. Barium Swallow
D. Histology Correct Answer A. Endoscopy
6. What diagnostic test would yield good visualization of the
ulcer crater?
A. Endoscopy
B. Gastroscopy
C. Barium Swallow
D. Histology Correct Answer A. Endoscopy
642. A client has a history of urolithiasis related to
hyperuricemia. To prevent the formation of future stones, the
nurse instructs the client to avoid which food?
2. Carrots
3. White rice
,4. Skim milk Correct Answer 1. Liver
A 10-day postpartum breast-feeding client telephones the
postpartum unit reporting a reddened, painful breast and
elevated temperature. Based on assessment of the client's
complaints, which action should the nurse tell the client to do?
1. "Breast-feed only with the unaffected breast."
2. "Stop breast-feeding because you probably have an infection."
3. "Notify your health care provider because you may need
medication."
4. "Continue breast-feeding since this is a normal response in
breast-feeding mothers." Correct Answer 3. "Notify your
health care provider because you may need medication."
A 10-year-old child has been diagnosed with type 1 diabetes
mellitus. What instruction should the nurse provide concerning
the monitoring of the child insulin?
1. The child should be taught to self-monitor insulin needs.
2. The parents will need to be available to monitor the child's
insulin needs.
3. The child's school teacher will assume responsibility of
insulin need monitoring.
4. Friends and family will need to be involved with monitoring
the child's insulin needs. Correct Answer 1. The child should
be taught to self-monitor insulin needs.
A 16-year-old client diagnosed with diabetes is admitted for
hyperglycemia. The client states, "I'm fed up with having my
life ruled by diets, doctors' prescriptions, and machines!" Based
on this assessment data, which is the priority client concern?
1. A chronic illness
,2. A personal crisis
3. Feelings of loss of control
4. Lack of understanding about nutrition Correct Answer 3.
Feelings of loss of control
A 16-year-old client with Crohn's disease is hospitalized. Which
statement by the client would alert the nurse to a potential
developmental problem?
1. "I'd like my hair washed before my friends get here."
2. "Is it okay if I have a couple of friends in to visit me this
evening?"
3. "Please tell my friends not to visit, since I'll see them back at
school next week."
4. "When my friends get here, I would like to play some
computer games with them." Correct Answer 3. "Please tell
my friends not to visit, since I'll see them back at school next
week."
A 24-hour-old term infant had a confirmed episode of
hypoglycemia when 1 hour old. Which observation by the nurse
would indicate the need for follow-up?
1. Weight loss of 4 ounces and dry, peeling skin
2. Blood glucose level of 40 mg/dL (2.28 mmol/L) before the
last feeding
3. Breast-feeding for 20 minutes or more, with strong sucking
4. High-pitched cry, drinking 10 to 15 mL of formula per
feeding Correct Answer 4. High-pitched cry, drinking 10 to
15 mL of formula per feeding
A 9-year-old child is newly diagnosed with type 1 diabetes
mellitus. The nurse is planning for home care with the child and
, the family and determines that which is an age-appropriate
activity for health maintenance?
1. Administering insulin drawn up by an adult
2. Self-administering insulin with adult supervision
3. Making independent decisions with regard to sliding-scale
coverage of insulin
4. Having an adult assist in the self-administration of insulin and
glucose monitoring Correct Answer 2. Self-administering
insulin with adult supervision
A child diagnosed with a malignant brain tumor is admitted for
removal of the tumor. The nurse should include which action in
the plan of care to ensure a safe environment for the child?
1. Initiating seizure precautions
2. Using a wheelchair for out-of-bed activities
3. Assisting the child with ambulation at all times
4. Minimizing contact with other children on the nursing unit
Correct Answer 1. Initiating seizure precautions
A child is admitted to the hospital with a suspected diagnosis of
idiopathic thrombocytopenic purpura (ITP) and diagnostic
studies are performed. Which diagnostic result is indicative of
this disorder?
1. An elevated platelet count
2. Elevated hemoglobin and hematocrit levels
3. Bone marrow exam showing increased megakaryocytes
4. Bone marrow exam indicating increased immature white
blood cells Correct Answer 3. Bone marrow exam showing
increased megakaryocytes
