NUR 120 (Med Surg - Test 3) NCLEX STYLE
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PRACTICE QUESTIONS WITH ANSWERS
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A client is diagnosed with breast cancer after a positive breast
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biopsy. The client refuses to believe the diagnosis and says, "I do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not have the C-disease." When planning nursing interventions,
|\ |\ |\ |\ |\ |\ |\ |\
which is an INITIAL short-term goal?
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A) The client will say the word "cancer"
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B) The client will admit to having cancer
|\ |\ |\ |\ |\ |\ |\
C) The client will attend a cancer support group
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D) The client will sign an advance directive
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**K** - CORRECT ANSWERS ✔✔A
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(The client will say the word "cancer")
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The nurse provides care for a patient with Addison disease. How
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would the nurse expect the client's skin to appear?
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A) Ruddy and oily
|\ |\ |\
B) Puffy |\
C) Abnormally dark and pigmented
|\ |\ |\ |\
D) Pale, dry, and scaly
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,**K** - CORRECT ANSWERS ✔✔C
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(Abnormally dark and pigmented) |\ |\ |\
The nurse provides care for a client diagnosed with pernicious
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anemia. Which treatment does the nurse expect to be
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed?
A) Oral administration of vitamin B12 supplements daily
|\ |\ |\ |\ |\ |\ |\
B) Oral administration of ferrous gluconate 325mg 3 times daily
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C) Oral administration of 1mg folic acid daily
|\ |\ |\ |\ |\ |\ |\
D) Parenteral administration of vitamin B12 once a month
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**K** - CORRECT ANSWERS ✔✔D
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(Parenteral administration of vitamin B12 once a month)
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A client has undergone a thyroidectomy. The nurse is conducting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a post operative assessment. Which procedure must the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
perform to assess for bleeding for this client?
|\ |\ |\ |\ |\ |\ |\
A) Remove the dressing and observe the incision every 15
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes for one hour |\ |\ |\
B) Reinforce the existing pressure dressing as needed
|\ |\ |\ |\ |\ |\ |\
C) Check the dressing and the back of the client's neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,D) Change the surgical dressing within two hours of the surgery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to assess for hematoma formation
|\ |\ |\ |\ |\
**K** - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\
(Check the dressing and the back of the client's neck)
|\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse in the outpatient clinic provides care for a client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the diagnosis of Cushing disease. The nurse expects to observe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which symptoms? |\
A) Weight loss
|\ |\
B) Thin legs and arms
|\ |\ |\ |\
C) Hypoglycemia
|\
D) Hypotension
|\
**K** - CORRECT ANSWERS ✔✔B
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(Thin legs and arms)
|\ |\ |\
In which age group is diabetes mellitus type 2 MOST likely to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur?
A) Children
|\
B) Adolescents
|\
, C) Older Adults
|\ |\
D) Adults |\
**K** - CORRECT ANSWERS ✔✔D
|\ |\ |\ |\
(Adults)
The nurse provides care for a client diagnosed with a severe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
head injury. The client's urine output is 150 mL/hour, blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pressure 92/68 mm/Hg, and increased serum osmolality is
|\ |\ |\ |\ |\ |\ |\ |\
present. The nurse suspects the client has which condition?
|\ |\ |\ |\ |\ |\ |\ |\
A) Diabetes insipidus
|\ |\
B) Increased intracranial pressure
|\ |\ |\
C) Pulmonary edema
|\ |\
D) Acute kidney injury
|\ |\ |\
**K** - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\
(Diabetes insipidus) |\
A client is diagnosed with hypoparathyroidism. The nurse teaches
|\ |\ |\ |\ |\ |\ |\ |\
the importance of taking calcium replacements. Which client
|\ |\ |\ |\ |\ |\ |\ |\ |\
statement indicates FURTHER teaching is required? |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\ |\ |\
PRACTICE QUESTIONS WITH ANSWERS
|\ |\ |\ |\
A client is diagnosed with breast cancer after a positive breast
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
biopsy. The client refuses to believe the diagnosis and says, "I do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not have the C-disease." When planning nursing interventions,
|\ |\ |\ |\ |\ |\ |\ |\
which is an INITIAL short-term goal?
|\ |\ |\ |\ |\
A) The client will say the word "cancer"
|\ |\ |\ |\ |\ |\ |\
B) The client will admit to having cancer
|\ |\ |\ |\ |\ |\ |\
C) The client will attend a cancer support group
|\ |\ |\ |\ |\ |\ |\ |\
D) The client will sign an advance directive
|\ |\ |\ |\ |\ |\ |\
**K** - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\
(The client will say the word "cancer")
|\ |\ |\ |\ |\ |\
The nurse provides care for a patient with Addison disease. How
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would the nurse expect the client's skin to appear?
|\ |\ |\ |\ |\ |\ |\ |\
A) Ruddy and oily
|\ |\ |\
B) Puffy |\
C) Abnormally dark and pigmented
|\ |\ |\ |\
D) Pale, dry, and scaly
|\ |\ |\ |\
,**K** - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\
(Abnormally dark and pigmented) |\ |\ |\
The nurse provides care for a client diagnosed with pernicious
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
anemia. Which treatment does the nurse expect to be
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed?
A) Oral administration of vitamin B12 supplements daily
|\ |\ |\ |\ |\ |\ |\
B) Oral administration of ferrous gluconate 325mg 3 times daily
|\ |\ |\ |\ |\ |\ |\ |\ |\
C) Oral administration of 1mg folic acid daily
|\ |\ |\ |\ |\ |\ |\
D) Parenteral administration of vitamin B12 once a month
|\ |\ |\ |\ |\ |\ |\ |\
**K** - CORRECT ANSWERS ✔✔D
|\ |\ |\ |\
(Parenteral administration of vitamin B12 once a month)
|\ |\ |\ |\ |\ |\ |\
A client has undergone a thyroidectomy. The nurse is conducting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
a post operative assessment. Which procedure must the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
perform to assess for bleeding for this client?
|\ |\ |\ |\ |\ |\ |\
A) Remove the dressing and observe the incision every 15
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes for one hour |\ |\ |\
B) Reinforce the existing pressure dressing as needed
|\ |\ |\ |\ |\ |\ |\
C) Check the dressing and the back of the client's neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,D) Change the surgical dressing within two hours of the surgery
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to assess for hematoma formation
|\ |\ |\ |\ |\
**K** - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\
(Check the dressing and the back of the client's neck)
|\ |\ |\ |\ |\ |\ |\ |\ |\
The nurse in the outpatient clinic provides care for a client with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the diagnosis of Cushing disease. The nurse expects to observe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
which symptoms? |\
A) Weight loss
|\ |\
B) Thin legs and arms
|\ |\ |\ |\
C) Hypoglycemia
|\
D) Hypotension
|\
**K** - CORRECT ANSWERS ✔✔B
|\ |\ |\ |\
(Thin legs and arms)
|\ |\ |\
In which age group is diabetes mellitus type 2 MOST likely to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occur?
A) Children
|\
B) Adolescents
|\
, C) Older Adults
|\ |\
D) Adults |\
**K** - CORRECT ANSWERS ✔✔D
|\ |\ |\ |\
(Adults)
The nurse provides care for a client diagnosed with a severe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
head injury. The client's urine output is 150 mL/hour, blood
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pressure 92/68 mm/Hg, and increased serum osmolality is
|\ |\ |\ |\ |\ |\ |\ |\
present. The nurse suspects the client has which condition?
|\ |\ |\ |\ |\ |\ |\ |\
A) Diabetes insipidus
|\ |\
B) Increased intracranial pressure
|\ |\ |\
C) Pulmonary edema
|\ |\
D) Acute kidney injury
|\ |\ |\
**K** - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\
(Diabetes insipidus) |\
A client is diagnosed with hypoparathyroidism. The nurse teaches
|\ |\ |\ |\ |\ |\ |\ |\
the importance of taking calcium replacements. Which client
|\ |\ |\ |\ |\ |\ |\ |\ |\
statement indicates FURTHER teaching is required? |\ |\ |\ |\ |\
