NURS 151 Final Practice Exam 2026 Latest 350 Questions and
Correct Answers/ N151 Final Practice Test 2025/ N151 Introduction
to Medical Surgical Nursing (N151) NCLEX Prep Qs
The wife of a patient who has undergone a TURP and has continuous bladder
irrigation asks the nurse about the purpose of the continuous bladder irrigation.
Which response by the nurse is appropriate?
a. "The bladder irrigation is needed to stop the postoperative bleeding in the
bladder."
b. "The irrigation is needed to keep the catheter from being occluded by blood
clots."
c. "Normal production of urine is maintained with the irrigations until healing
occurs."
d. "Antibiotics are being administered into the bladder with the irrigation solution."
- ANSWER-B
The nurse is discussing open reduction and internal fixation with a client who is
considering surgery to correct a bone fracture. Which statement by the nurse is
correct?
A. "Internal fixation is performed when soft tissue damage prevents external
fixation."
B. "A longer hospital stay will be required."
C. "A metal bar will be placed outside the skin to stabilize the bone."
D. "Internal fixation allows earlier return to full function." - ANSWER-D
The nurse is explaining the use of a splint for an ulnar fracture. Which information
should be included? (Select all that apply.)
pg. 1
,A. At greater risk for compartment syndrome
B. May be used as a temporary measure until a cast can be applied
C. Easily removed if needed
D. Can be adjusted if swelling occurs
E. Allows some movement of the joint - ANSWER-B, C, D, E
The nurse notes that a client with a 2-day postoperative internal fixation femur
fracture is a current two-pack-a-day smoker. Which complication should the nurse
expect due to the client's smoking habit? (Select all that apply.)
A. Osteomyelitis
B. Delayed bone healing
C. Higher incidence of infection
D. Decreased blood circulation to bone
E. Increased bone density - ANSWER-A, B, C, D
A patient scheduled for a transurethral resection of the prostate (TURP) for BPH
tells the nurse that he has delayed having surgery because he is afraid it will affect
his sexual function. When responding to his concern, the nurse explains that
a. with this type of surgery, erectile problems are rare, but retrograde ejaculation
may occur.
b. information about penile implants used for ED is available if he is interested.
c. there are many methods of sexual expression that can be alternatives to sexual
intercourse.
d. sterility will not be a problem after surgery because sperm production will not be
affected. - ANSWER-A
pg. 2
,After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with
no residual effects, the nurse anticipates teaching the patient about?
a. cerebral aneurysm clipping.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA). - ANSWER-C
A 68-year-old patient is being admitted with a possible stroke. Which information
from the assessment indicates that the nurse should consult with the health care
provider before giving the prescribed aspirin?
a. The patient has dysphasia.
b. The patient has atrial fibrillation.
c. The patient reports that symptoms began with a severe headache.
d. The patient has a history of brief episodes of right-sided hemiplegia. -
ANSWER-C
A 73-year-old patient with a stroke experiences facial drooping on the right side
and right-sided arm and leg paralysis. When admitting the patient, which clinical
manifestation will the nurse expect to find?
a. Impulsive behavior
b. Right-sided neglect
c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions - ANSWER-D
pg. 3
, During the change of shift report a nurse is told that a patient has an occluded left
posterior cerebral artery. The nurse will anticipate that the patient may have
a. dysphasia.
b. confusion.
c. visual deficits.
d. poor judgment. - ANSWER-C
When teaching about clopidogrel (Plavix), the nurse will tell the patient with
cerebral atherosclerosis
a. to monitor and record the blood pressure daily.
b. that Plavix will dissolve clots in the cerebral arteries.
c. that Plavix will reduce cerebral artery plaque formation.
d. to call the health care provider if stools are bloody or tarry. - ANSWER-D
A patient with carotid atherosclerosis asks the nurse to describe a carotid
endarterectomy. Which response by the nurse is accurate?
a. "The obstructing plaque is surgically removed from an artery in the neck."
b. "The diseased portion of the artery in the brain is replaced with a synthetic
graft."
c. "A wire is threaded through an artery in the leg to the clots in the carotid artery
and the clots are removed."
d. "A catheter with a deflated balloon is positioned at the narrow area, and the
balloon is inflated to flatten the plaque." - ANSWER-A
pg. 4
Correct Answers/ N151 Final Practice Test 2025/ N151 Introduction
to Medical Surgical Nursing (N151) NCLEX Prep Qs
The wife of a patient who has undergone a TURP and has continuous bladder
irrigation asks the nurse about the purpose of the continuous bladder irrigation.
Which response by the nurse is appropriate?
a. "The bladder irrigation is needed to stop the postoperative bleeding in the
bladder."
b. "The irrigation is needed to keep the catheter from being occluded by blood
clots."
c. "Normal production of urine is maintained with the irrigations until healing
occurs."
d. "Antibiotics are being administered into the bladder with the irrigation solution."
- ANSWER-B
The nurse is discussing open reduction and internal fixation with a client who is
considering surgery to correct a bone fracture. Which statement by the nurse is
correct?
A. "Internal fixation is performed when soft tissue damage prevents external
fixation."
B. "A longer hospital stay will be required."
C. "A metal bar will be placed outside the skin to stabilize the bone."
D. "Internal fixation allows earlier return to full function." - ANSWER-D
The nurse is explaining the use of a splint for an ulnar fracture. Which information
should be included? (Select all that apply.)
pg. 1
,A. At greater risk for compartment syndrome
B. May be used as a temporary measure until a cast can be applied
C. Easily removed if needed
D. Can be adjusted if swelling occurs
E. Allows some movement of the joint - ANSWER-B, C, D, E
The nurse notes that a client with a 2-day postoperative internal fixation femur
fracture is a current two-pack-a-day smoker. Which complication should the nurse
expect due to the client's smoking habit? (Select all that apply.)
A. Osteomyelitis
B. Delayed bone healing
C. Higher incidence of infection
D. Decreased blood circulation to bone
E. Increased bone density - ANSWER-A, B, C, D
A patient scheduled for a transurethral resection of the prostate (TURP) for BPH
tells the nurse that he has delayed having surgery because he is afraid it will affect
his sexual function. When responding to his concern, the nurse explains that
a. with this type of surgery, erectile problems are rare, but retrograde ejaculation
may occur.
b. information about penile implants used for ED is available if he is interested.
c. there are many methods of sexual expression that can be alternatives to sexual
intercourse.
d. sterility will not be a problem after surgery because sperm production will not be
affected. - ANSWER-A
pg. 2
,After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with
no residual effects, the nurse anticipates teaching the patient about?
a. cerebral aneurysm clipping.
b. heparin intravenous infusion.
c. oral low-dose aspirin therapy.
d. tissue plasminogen activator (tPA). - ANSWER-C
A 68-year-old patient is being admitted with a possible stroke. Which information
from the assessment indicates that the nurse should consult with the health care
provider before giving the prescribed aspirin?
a. The patient has dysphasia.
b. The patient has atrial fibrillation.
c. The patient reports that symptoms began with a severe headache.
d. The patient has a history of brief episodes of right-sided hemiplegia. -
ANSWER-C
A 73-year-old patient with a stroke experiences facial drooping on the right side
and right-sided arm and leg paralysis. When admitting the patient, which clinical
manifestation will the nurse expect to find?
a. Impulsive behavior
b. Right-sided neglect
c. Hyperactive left-sided tendon reflexes
d. Difficulty comprehending instructions - ANSWER-D
pg. 3
, During the change of shift report a nurse is told that a patient has an occluded left
posterior cerebral artery. The nurse will anticipate that the patient may have
a. dysphasia.
b. confusion.
c. visual deficits.
d. poor judgment. - ANSWER-C
When teaching about clopidogrel (Plavix), the nurse will tell the patient with
cerebral atherosclerosis
a. to monitor and record the blood pressure daily.
b. that Plavix will dissolve clots in the cerebral arteries.
c. that Plavix will reduce cerebral artery plaque formation.
d. to call the health care provider if stools are bloody or tarry. - ANSWER-D
A patient with carotid atherosclerosis asks the nurse to describe a carotid
endarterectomy. Which response by the nurse is accurate?
a. "The obstructing plaque is surgically removed from an artery in the neck."
b. "The diseased portion of the artery in the brain is replaced with a synthetic
graft."
c. "A wire is threaded through an artery in the leg to the clots in the carotid artery
and the clots are removed."
d. "A catheter with a deflated balloon is positioned at the narrow area, and the
balloon is inflated to flatten the plaque." - ANSWER-A
pg. 4
