FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
1. (1.1) Which nursing activities may be safely delegated to competent assistive
personnel (AP)? Select all that apply.
A.) Discharge teaching
B.) Blood pressure monitoring
C.) Gastrostomy feeding
D.) Oxygen administration
E.) Ambulation assistance: B, E
2. (1.2) A nurse assures a client experiencing abdominal surgical pain that
comfort measures, including drug therapy, will be provided as the client needs
them. Which ethical principles apply in the situation? Select all that apply.
A.) Beneficence
B.) Social justice
C.) Autonomy
D.) Fidelity
E.) Veracity: A, D, E
3. (1.1 M) The nurse provides an SBAR hand-off communication regarding a
client whose blood pressure and respiratory rate have decreased. Where will
the nurse include these data as part of the SBAR format?
A.) Situation
B.) Background
C.) Assessment
D.) Recommendation: A
4. (1.2 M) The nurse collaborates with the registered dietitian nutritionist to
improve the nutritional status of clients on a hospital unit. Which priority
professional nursing concepts apply in this situation? Select all that apply.
A.) Quality Improvement
B.) Ethics
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
C.) Health Care Disparities
D.) Systems Thinking
E.) Teamwork and Collaboration: A, D, E
5. (2.1) Which environments of care will the nurse recognize as components of
the health care system? Select all that apply.
A.) Long-term care
B.) Primary care
C.) Free-standing emergency department
D.) National League of Nursing
E.) Patient-centered medical home
F.) World Health Organization: A, B, C, E
6. (2.2) What is the generalist registered nurse's role related to patient care
within a system? Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.) Researching
F.) Prescribing: A, B, C, D, E
7. (2.1 M) The nurse is participating in a unit meeting to discuss daily nursing
care expectations. Which nursing statement reflects systems level thinking?
A.) "It is important to provide care consistent with the client's expectation."
B.) "I will always consider my client's cultural preferences when delivering
care."
C.) "I have been comparing our rates of infection with other units in the
hospital."
D.) "I will look for the policy about family visitation to show my client.": C
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
8. (2.2 M) Which nursing action reflects implementation of systems level think-
ing?
A.) Conducting a skin assessment on a newly admitted client
B.) Documenting a pressure injury in the electronic health record
C.) Notifying the health care provider of a 2" x 1" pressure injury on the coccyx
D.) Participating in a quality improvement project about eliminating pressure
injury occurrences: D
9. (2.3 M) How will the experienced nurse explain systems thinking to a new
nurse?
A.) Reading a journal article to enhance one's understanding of a specific
disorder
B.) Providing patient-centered care to each individual, recognizing his or her
uniqueness
C.) Engaging in a professional development activity to earn continuing educa-
tion credit
D.) Using information from individual client care to improve outcomes at a
macro level: D
10. (3.1) Which assessment findings indicate to the nurse that a client taking
warfarin may have decreased CLOTTING? (Select all that apply.)
A.) Frequent nosebleeds
B.) Lower leg swelling
C.) Upper extremity bruising
D.) Difficulty breathing
E.) Intermittent chest pain
F.) Dark stools: A, C, F
11. (3.2) The nurse is conducting assessments for clients at potential risk for
infection. Which client is MOST at risk for acquiring an INFECTION?
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
A.) A client who had an opened incision for abdominal surgery
B.) A client who has not been immunized for pneumonia or influenza
C.) A client who works in a high-stress job for an accounting practice
D.) A client who is 85 years old and in good health: A
12. (3.3) A client reports increasing diffuse pain in the entire right leg. What is
the nurse's PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.) Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.) Notify the Rapid Response Team immediately: B
13. (3.1 M) The nurse is assessing an older adult and notes that the client is at
risk for constipation. Which statements will the nurse include in health teaching
for this client to promote optimum bowel elimination? Select all that apply.
A.) "Be sure to include plenty of fresh fruits and vegetables in your diet each
day."
B.) "Eat lots of high fiber foods, including whole grains each day."
C.) "BE sure to take a laxative every day to clean out your bowels and prevent
toxins."
D.) "Exercise several times a week to keep our bowels working for regular
elimination."
E.) "Drink at least 3 caffeinated beverages every day to keep your bowel stimu-
lated."
F.) "Drink plenty of fluids, including water, to prevent having difficulty going to
the bathroom.": A, B, D, F
14. (3.2 M) Which of the following factors does the nurse recognize as being a
risk for altered sensory perception in the older adult client?
A.) Diabetes mellitus
B.) Hypotension
tions
Study online at https://quizlet.com/_d8677q
1. (1.1) Which nursing activities may be safely delegated to competent assistive
personnel (AP)? Select all that apply.
A.) Discharge teaching
B.) Blood pressure monitoring
C.) Gastrostomy feeding
D.) Oxygen administration
E.) Ambulation assistance: B, E
2. (1.2) A nurse assures a client experiencing abdominal surgical pain that
comfort measures, including drug therapy, will be provided as the client needs
them. Which ethical principles apply in the situation? Select all that apply.
A.) Beneficence
B.) Social justice
C.) Autonomy
D.) Fidelity
E.) Veracity: A, D, E
3. (1.1 M) The nurse provides an SBAR hand-off communication regarding a
client whose blood pressure and respiratory rate have decreased. Where will
the nurse include these data as part of the SBAR format?
A.) Situation
B.) Background
C.) Assessment
D.) Recommendation: A
4. (1.2 M) The nurse collaborates with the registered dietitian nutritionist to
improve the nutritional status of clients on a hospital unit. Which priority
professional nursing concepts apply in this situation? Select all that apply.
A.) Quality Improvement
B.) Ethics
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
C.) Health Care Disparities
D.) Systems Thinking
E.) Teamwork and Collaboration: A, D, E
5. (2.1) Which environments of care will the nurse recognize as components of
the health care system? Select all that apply.
A.) Long-term care
B.) Primary care
C.) Free-standing emergency department
D.) National League of Nursing
E.) Patient-centered medical home
F.) World Health Organization: A, B, C, E
6. (2.2) What is the generalist registered nurse's role related to patient care
within a system? Select all that apply.
A.) Caring
B.) Teaching
C.) Collaborating
D.) Advocating
E.) Researching
F.) Prescribing: A, B, C, D, E
7. (2.1 M) The nurse is participating in a unit meeting to discuss daily nursing
care expectations. Which nursing statement reflects systems level thinking?
A.) "It is important to provide care consistent with the client's expectation."
B.) "I will always consider my client's cultural preferences when delivering
care."
C.) "I have been comparing our rates of infection with other units in the
hospital."
D.) "I will look for the policy about family visitation to show my client.": C
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
8. (2.2 M) Which nursing action reflects implementation of systems level think-
ing?
A.) Conducting a skin assessment on a newly admitted client
B.) Documenting a pressure injury in the electronic health record
C.) Notifying the health care provider of a 2" x 1" pressure injury on the coccyx
D.) Participating in a quality improvement project about eliminating pressure
injury occurrences: D
9. (2.3 M) How will the experienced nurse explain systems thinking to a new
nurse?
A.) Reading a journal article to enhance one's understanding of a specific
disorder
B.) Providing patient-centered care to each individual, recognizing his or her
uniqueness
C.) Engaging in a professional development activity to earn continuing educa-
tion credit
D.) Using information from individual client care to improve outcomes at a
macro level: D
10. (3.1) Which assessment findings indicate to the nurse that a client taking
warfarin may have decreased CLOTTING? (Select all that apply.)
A.) Frequent nosebleeds
B.) Lower leg swelling
C.) Upper extremity bruising
D.) Difficulty breathing
E.) Intermittent chest pain
F.) Dark stools: A, C, F
11. (3.2) The nurse is conducting assessments for clients at potential risk for
infection. Which client is MOST at risk for acquiring an INFECTION?
, FINAL EXAM: Medical-Surgical Nursing (Evolve) NCLEX and Mastery Ques-
tions
Study online at https://quizlet.com/_d8677q
A.) A client who had an opened incision for abdominal surgery
B.) A client who has not been immunized for pneumonia or influenza
C.) A client who works in a high-stress job for an accounting practice
D.) A client who is 85 years old and in good health: A
12. (3.3) A client reports increasing diffuse pain in the entire right leg. What is
the nurse's PRIORITY ACTION at this time?
A.) Elevate the right leg on a pillow
B.) Perform a peripheral vascular assessment
C.) Check for swelling in the right leg
D.) Notify the Rapid Response Team immediately: B
13. (3.1 M) The nurse is assessing an older adult and notes that the client is at
risk for constipation. Which statements will the nurse include in health teaching
for this client to promote optimum bowel elimination? Select all that apply.
A.) "Be sure to include plenty of fresh fruits and vegetables in your diet each
day."
B.) "Eat lots of high fiber foods, including whole grains each day."
C.) "BE sure to take a laxative every day to clean out your bowels and prevent
toxins."
D.) "Exercise several times a week to keep our bowels working for regular
elimination."
E.) "Drink at least 3 caffeinated beverages every day to keep your bowel stimu-
lated."
F.) "Drink plenty of fluids, including water, to prevent having difficulty going to
the bathroom.": A, B, D, F
14. (3.2 M) Which of the following factors does the nurse recognize as being a
risk for altered sensory perception in the older adult client?
A.) Diabetes mellitus
B.) Hypotension
