NCLEX-PN Medical Surgical NGN
UPDATED A+ EXAM AND SOLVED
QUESTIONS
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety.
Which of the following interventions should the nurse identify as the priority? - Answer -
✔✔Determine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease
of the lower extremities. Which of the following interventions should the nurse include? -
Answer - ✔✔Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric
stroke. Which of the following actions should the nurse include in the plan? - Answer -
✔✔Use simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the
nurse include? - Answer - ✔✔Incontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions
should the nurse take to decrease the risk for aspiration? - Answer - ✔✔Pinch the NG
tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - Answer - ✔✔Stop the
medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the
following instructions should the nurse include? - Answer - ✔✔"Consume foods that are
low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult
blood test. Which of the following instructions should the nurse include in the teaching?
- Answer - ✔✔Avoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who
has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
not use a trailing zero.) - Answer - ✔✔0.7 mL
, A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching? - Answer - ✔✔"This type
of insulin should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus
(MRSA) infection in a surgical wound. Which of the following information should the
nurse plan to share with visitors? - Answer - ✔✔Visitors must don a gown and gloves
prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness
and hot flashes. The client is interested in trying hormone replacement therapy (HRT).
Which of the following should the nurse recognize as a contraindication to HRT? -
Answer - ✔✔History of treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the
teaching? - Answer - ✔✔Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include in
the teaching? - Answer - ✔✔Avoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the
sacrum. Which of the following actions should the nurse take? - Answer - ✔✔Minimize
the time the head of the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order
should the nurse perform the following steps? (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.) - Answer - ✔✔Check IV
site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
During the emergent phase of burn care, the client is at risk for
developing____________ and _____________. - Answer - ✔✔Hypovolemia
Respiratory failure
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching? - Answer - ✔✔Mohs surgery is a horizontal shaving of thin layers of the
tumor.
UPDATED A+ EXAM AND SOLVED
QUESTIONS
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety.
Which of the following interventions should the nurse identify as the priority? - Answer -
✔✔Determine the client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease
of the lower extremities. Which of the following interventions should the nurse include? -
Answer - ✔✔Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric
stroke. Which of the following actions should the nurse include in the plan? - Answer -
✔✔Use simple verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the
nurse include? - Answer - ✔✔Incontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions
should the nurse take to decrease the risk for aspiration? - Answer - ✔✔Pinch the NG
tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first? - Answer - ✔✔Stop the
medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the
following instructions should the nurse include? - Answer - ✔✔"Consume foods that are
low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult
blood test. Which of the following instructions should the nurse include in the teaching?
- Answer - ✔✔Avoid eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who
has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do
not use a trailing zero.) - Answer - ✔✔0.7 mL
, A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching? - Answer - ✔✔"This type
of insulin should be given at the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus
(MRSA) infection in a surgical wound. Which of the following information should the
nurse plan to share with visitors? - Answer - ✔✔Visitors must don a gown and gloves
prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness
and hot flashes. The client is interested in trying hormone replacement therapy (HRT).
Which of the following should the nurse recognize as a contraindication to HRT? -
Answer - ✔✔History of treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the
teaching? - Answer - ✔✔Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse include in
the teaching? - Answer - ✔✔Avoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the
sacrum. Which of the following actions should the nurse take? - Answer - ✔✔Minimize
the time the head of the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order
should the nurse perform the following steps? (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.) - Answer - ✔✔Check IV
site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
During the emergent phase of burn care, the client is at risk for
developing____________ and _____________. - Answer - ✔✔Hypovolemia
Respiratory failure
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching? - Answer - ✔✔Mohs surgery is a horizontal shaving of thin layers of the
tumor.
