PEARSON EXAM CRAM NCLEX RN TEST
#1 MED SURG QUESTIONS AND
ANSWERS
1.The client is admitted to the emergency room with shortness of breath,
anxiety, and tachycardia. His ECG reveals atrial fibrillation with a
ventricular response rate of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving quinidine, the nurse should monitor
his ECG for
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
Answer d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
2.A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
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,Answer b. "You need to empty your bladder before the procedure."
3.A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid
7.0, Na+ 136, and platelets 178,000cu.mm. The nurse evaluates that the
client is experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
Answer b Hypokalemia
4.Due to a high census, it has been necessary for a number of clients to
be transferred to other units within the hospital. Which client should be
trans- ferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Answer b A 40-year-old female with a hys- terectomy
5.Before administering Theo-Dur (theophylline), the nurse should check
the patient's
a output
b Blood pressure
c Pulse
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,d Temperature
Answer c Pulse
6.Which information should be given to the patient undergoing
radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a
year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician
Answer a Avoid exposing radiation areas to sunlight during treatment
time and for a year after completion of therapy
7.The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge
nurse that her child has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
Answer d Ask the nurse if she has ever had the chickenpox.
8.Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
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, b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Answer d The duration is 24 hours.
9.Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
Answer c The elderly client with a thy- roidectomy four days ago
10.The physician has ordered the Schilling test for a patient with
suspected pernicious anemia. What other vitamin level is often assessed at
the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
Answer a Folic acid
11.A 25-year-old client arrives in the emergency room with a possible
fracture of the right femur. The nurse should anticipate an order for
a Bryant's traction
b Ice to the entire extremity
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#1 MED SURG QUESTIONS AND
ANSWERS
1.The client is admitted to the emergency room with shortness of breath,
anxiety, and tachycardia. His ECG reveals atrial fibrillation with a
ventricular response rate of 130 beats per minute. The doctor orders
quinidine sulfate. While he is receiving quinidine, the nurse should monitor
his ECG for
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
Answer d Prolonged QT interval
Quinidine can cause widened Q-T intervals and heart block.
2.A client with ascites is scheduled for a paracentesis. Which
instruction should be given to the client before the procedure?
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the procedure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the procedure."
1/
121
,Answer b. "You need to empty your bladder before the procedure."
3.A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, K+ 1.9, uric acid
7.0, Na+ 136, and platelets 178,000cu.mm. The nurse evaluates that the
client is experiencing which of the following?
Hypernatremia
b Hypokalemia
Myelosuppression
Leukopenia
Answer b Hypokalemia
4.Due to a high census, it has been necessary for a number of clients to
be transferred to other units within the hospital. Which client should be
trans- ferred to the postpartum unit?
a A 66-year-old female with gastroenteritis
b A 40-year-old female with a hysterectomy
c A 27-year-old male with severe depression
d A 28-year-old male with ulcerative colitis
Answer b A 40-year-old female with a hys- terectomy
5.Before administering Theo-Dur (theophylline), the nurse should check
the patient's
a output
b Blood pressure
c Pulse
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121
,d Temperature
Answer c Pulse
6.Which information should be given to the patient undergoing
radiation therapy for breast cancer?
a Avoid exposing radiation areas to sunlight during treatment time and for a
year after completion of therapy
b Moisturize the radiation site with oil-based lotion to prevent blistering
c Use bath oil when tub bathing to prevent drying and peeling
d Report redness and soreness of the area to the physician
Answer a Avoid exposing radiation areas to sunlight during treatment
time and for a year after completion of therapy
7.The charge nurse is making assignments for the day. After accepting the
assignment to care for a client with leukemia, the nurse tells the charge
nurse that her child has chickenpox. Which initial action should the charge
nurse take?
a Change the nurse's assignment to another client.
b Explain to the nurse that there is no risk to the client.
c Ask the nurse if the chickenpox have crusted.
d Ask the nurse if she has ever had the chickenpox.
Answer d Ask the nurse if she has ever had the chickenpox.
8.Which statement is true regarding therapy with Levemir (insulin detemir)?
a The onset is 1-2 hours.
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121
, b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
Answer d The duration is 24 hours.
9.Which client should be assigned to the nursing assistant?
a The 18-year-old with a fracture to two cervical vertebrae
b The infant with meningitis with a temperature of 101°F
c The elderly client with a thyroidectomy four days ago
d The client with a thoracotomy two days ago
Answer c The elderly client with a thy- roidectomy four days ago
10.The physician has ordered the Schilling test for a patient with
suspected pernicious anemia. What other vitamin level is often assessed at
the same time as the B12 level?
a Folic acid
b Pyridoxine
c Ascorbic acid
d Thiamine
Answer a Folic acid
11.A 25-year-old client arrives in the emergency room with a possible
fracture of the right femur. The nurse should anticipate an order for
a Bryant's traction
b Ice to the entire extremity
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121
