Pearson Exam Cram NCLEX RN Test #1 med surg
1. The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response Quinidine can cause
rate of 130 beats per minute. The doctor orders quini- widened Q-T intervals and
dine sulfate. While he is receiving quinidine, the nurse heart block.
should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
2. A client with ascites is scheduled for a paracentesis. b. "You need to empty
Which instruction should be given to the client before your bladder before the
the procedure? procedure."
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the proce-
dure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the pro-
cedure."
3. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
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
4. Due to a high census, it has been necessary for a num- b A 40-year-old female
ber of clients to be transferred to other units within with a hysterectomy
, Pearson Exam Cram NCLEX RN Test #1 med surg
the hospital. Which client should be transferred 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
5. Before administering Theo-Dur (theophylline), the c Pulse
nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
6. Which information should be given to the patient un- a Avoid exposing radiation
dergoing radiation therapy for breast cancer? areas to sunlight during
a Avoid exposing radiation areas to sunlight during treatment time and for a
treatment time and for a year after completion of year after completion of
therapy 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
7. The charge nurse is making assignments for the day. d Ask the nurse if she has
After accepting the assignment to care for a client with ever had the chickenpox.
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.
, Pearson Exam Cram NCLEX RN Test #1 med surg
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.
8. Which statement is true regarding therapy with Lev- d The duration is 24 hours.
emir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
9. Which client should be assigned to the nursing assis- c The elderly client with
tant? a thyroidectomy four days
a The 18-year-old with a fracture to two cervical verte- ago
brae
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
10. The physician has ordered the Schilling test for a pa- a Folic acid
tient 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
11. A 25-year-old client arrives in the emergency room c Buck's traction
with a possible fracture of the right femur. The nurse
, Pearson Exam Cram NCLEX RN Test #1 med surg
should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
12. Which statement should be included in the teaching b "You may experience a
session of a client scheduled for a renal biopsy? feeling of pressure or dis-
a "You will be placed in a sitting position for the biop- comfort during aspiration
sy." of the biopsy."
b "You may experience a feeling of pressure or dis-
comfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours
following the study."
13. The nurse is caring for the client who has been in a a Tell the wife that the hos-
coma for two months. He has signed a donor card, pital will honor her wish-
but the wife is opposed to the idea of organ donation. es regarding organ dona-
How should the nurse handle the topic of organ do- tion, but contact the or-
nation with the wife? gan-retrieval staff.
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-re-
trieval staff.
b Tell her that because her husband signed a donor
card, the hospital has the right to take the organs
upon the death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.
1. The client is admitted to the emergency room with d Prolonged QT interval
shortness of breath, anxiety, and tachycardia. His ECG
reveals atrial fibrillation with a ventricular response Quinidine can cause
rate of 130 beats per minute. The doctor orders quini- widened Q-T intervals and
dine sulfate. While he is receiving quinidine, the nurse heart block.
should monitor his ECG for:
a Peaked P wave
b Elevated ST segment
c Inverted T wave
d Prolonged QT interval
2. A client with ascites is scheduled for a paracentesis. b. "You need to empty
Which instruction should be given to the client before your bladder before the
the procedure? procedure."
a "You will need to lay flat during the procedure."
b. "You need to empty your bladder before the proce-
dure."
c. "You will be asleep during the procedure."
d. "The doctor will inject a medication during the pro-
cedure."
3. A client's lab values reveal Hgb 12.6, WBC 6500cu.mm, b Hypokalemia
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
4. Due to a high census, it has been necessary for a num- b A 40-year-old female
ber of clients to be transferred to other units within with a hysterectomy
, Pearson Exam Cram NCLEX RN Test #1 med surg
the hospital. Which client should be transferred 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
5. Before administering Theo-Dur (theophylline), the c Pulse
nurse should check the patient's:
a output
b Blood pressure
c Pulse
d Temperature
6. Which information should be given to the patient un- a Avoid exposing radiation
dergoing radiation therapy for breast cancer? areas to sunlight during
a Avoid exposing radiation areas to sunlight during treatment time and for a
treatment time and for a year after completion of year after completion of
therapy 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
7. The charge nurse is making assignments for the day. d Ask the nurse if she has
After accepting the assignment to care for a client with ever had the chickenpox.
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.
, Pearson Exam Cram NCLEX RN Test #1 med surg
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.
8. Which statement is true regarding therapy with Lev- d The duration is 24 hours.
emir (insulin detemir)?
a The onset is 1-2 hours.
b It may be mixed with regular insulin.
c It peaks in 2-3 hours.
d The duration is 24 hours.
9. Which client should be assigned to the nursing assis- c The elderly client with
tant? a thyroidectomy four days
a The 18-year-old with a fracture to two cervical verte- ago
brae
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
10. The physician has ordered the Schilling test for a pa- a Folic acid
tient 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
11. A 25-year-old client arrives in the emergency room c Buck's traction
with a possible fracture of the right femur. The nurse
, Pearson Exam Cram NCLEX RN Test #1 med surg
should anticipate an order for:
a Bryant's traction
b Ice to the entire extremity
c Buck's traction
d An abduction pillow
12. Which statement should be included in the teaching b "You may experience a
session of a client scheduled for a renal biopsy? feeling of pressure or dis-
a "You will be placed in a sitting position for the biop- comfort during aspiration
sy." of the biopsy."
b "You may experience a feeling of pressure or dis-
comfort during aspiration of the biopsy."
c "You will be asleep during the procedure."
d "You will not be able to drink fluids for 24 hours
following the study."
13. The nurse is caring for the client who has been in a a Tell the wife that the hos-
coma for two months. He has signed a donor card, pital will honor her wish-
but the wife is opposed to the idea of organ donation. es regarding organ dona-
How should the nurse handle the topic of organ do- tion, but contact the or-
nation with the wife? gan-retrieval staff.
a Tell the wife that the hospital will honor her wishes
regarding organ donation, but contact the organ-re-
trieval staff.
b Tell her that because her husband signed a donor
card, the hospital has the right to take the organs
upon the death of her husband.
c Explain that it is necessary for her to donate her
husband's organs because he signed the permit.
d Refrain from talking about the subject until after the
death of her husband.
