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NCLEX QUESTIONS #2 MED SURG 2025 |
COMPREHENSIVE QUESTIONS & ANSWERS
WITH RATIONALES
Which of the following clients would have the most difficulty maintaining
thermoregulation?
1) Young child playing soccer during the summer
2) Middle-aged adult snow skiing
3) Young adult playing golf on a hot day
4) Older adult raking leaves on a cold day - correct-answer-Answer:
4) Older adult raking leaves on a cold day
Rationale:
Older adults have more difficulty maintaining body heat because of their slower
metabolism, loss of subcutaneous fat, and decreased vasomotor control.
The nurse is teaching a child and family about firearm safety. The nurse should
instruct the child to take which step first if he sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
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3) Stop where he is.
4) Tell an adult. - correct-answer-Answer:
3) Stop where he is.
Rationale:
The child should be instructed to stop where he is. This allows him to think about
the next steps he has memorized. Next, he should avoid touching the gun, leave
the area, and immediately go tell an adult.
While teaching a health promotion group of adults, the nurse notices one person
who is clutching his throat with both hands. What should the nurse do first?
1) Call 9-1-1.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows. - correct-answer-Answer:
3) Ask, "Are you choking?"
Rationale:
Clutching the throat is the universal sign of choking. The first action when you
suspect airway obstruction is to ask, "Are you choking?" If the person indicates
"yes," or if the person cannot cough, speak, or breathe, that indicates choking.
You must first be certain the person is choking because you can cause harm when
you perform the choking maneuver. You would not call 9-1-1, encourage coughing,
or give five back blows until you first establish that the person is choking. The
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client appears to be giving the universal sign for choking, but the nurse must
validate the client's meaning before acting.
Which change in hygiene practices may be necessary as the patient ages?
1) Brushing teeth twice a day
2) Bathing every other day
3) Decreasing moisturizer use
4) Increasing soap use - correct-answer-Answer:
2) Bathing every other day
Rationale:
As a person ages, sebaceous glands become less active, causing skin to dry. Older
people may find it necessary to bathe every 2 days, increase the use of
moisturizers, and decrease soap use to prevent further drying of skin. Older adults
should brush their teeth after every meal and at bedtime to prevent tooth decay.
It is recommended that people of all ages brush their teeth at least twice a day, so
that option does not represent a change in an older adult's hygiene practices.
The nurse notes a lesion that appears to be caused by tissue compression on the
right hip of a patient who suffered a stroke 5 days ago. How should the nurse
document this finding?
1) Maceration
2) Abrasion
NCLEX QUESTIONS #2 MED SURG 2025 |
COMPREHENSIVE QUESTIONS & ANSWERS
WITH RATIONALES
Which of the following clients would have the most difficulty maintaining
thermoregulation?
1) Young child playing soccer during the summer
2) Middle-aged adult snow skiing
3) Young adult playing golf on a hot day
4) Older adult raking leaves on a cold day - correct-answer-Answer:
4) Older adult raking leaves on a cold day
Rationale:
Older adults have more difficulty maintaining body heat because of their slower
metabolism, loss of subcutaneous fat, and decreased vasomotor control.
The nurse is teaching a child and family about firearm safety. The nurse should
instruct the child to take which step first if he sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
,2|Page
3) Stop where he is.
4) Tell an adult. - correct-answer-Answer:
3) Stop where he is.
Rationale:
The child should be instructed to stop where he is. This allows him to think about
the next steps he has memorized. Next, he should avoid touching the gun, leave
the area, and immediately go tell an adult.
While teaching a health promotion group of adults, the nurse notices one person
who is clutching his throat with both hands. What should the nurse do first?
1) Call 9-1-1.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows. - correct-answer-Answer:
3) Ask, "Are you choking?"
Rationale:
Clutching the throat is the universal sign of choking. The first action when you
suspect airway obstruction is to ask, "Are you choking?" If the person indicates
"yes," or if the person cannot cough, speak, or breathe, that indicates choking.
You must first be certain the person is choking because you can cause harm when
you perform the choking maneuver. You would not call 9-1-1, encourage coughing,
or give five back blows until you first establish that the person is choking. The
, 3|Page
client appears to be giving the universal sign for choking, but the nurse must
validate the client's meaning before acting.
Which change in hygiene practices may be necessary as the patient ages?
1) Brushing teeth twice a day
2) Bathing every other day
3) Decreasing moisturizer use
4) Increasing soap use - correct-answer-Answer:
2) Bathing every other day
Rationale:
As a person ages, sebaceous glands become less active, causing skin to dry. Older
people may find it necessary to bathe every 2 days, increase the use of
moisturizers, and decrease soap use to prevent further drying of skin. Older adults
should brush their teeth after every meal and at bedtime to prevent tooth decay.
It is recommended that people of all ages brush their teeth at least twice a day, so
that option does not represent a change in an older adult's hygiene practices.
The nurse notes a lesion that appears to be caused by tissue compression on the
right hip of a patient who suffered a stroke 5 days ago. How should the nurse
document this finding?
1) Maceration
2) Abrasion
