Quiz: NCLEX Practice Test For Medical Surgical Nursing

13 Questions | Total Attempts: 2230

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Quiz: NCLEX Practice Test For Medical Surgical Nursing

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Questions and Answers
  • 1. 
    After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take? 
    • A. 

      Call the physician immediately.

    • B. 

      Administer the prescribed antiemetic.

    • C. 

      Check the patency of the nasogastric tube for any obstruction.

    • D. 

      Change the patient’s position.

  • 2. 
    Mr. Perez is in continuous pain from cancer that has metastasized to the bone. Pain medication provides little relief and he refuses to move. The nurse should plan to:
    • A. 

      Reassure him that the nurses will not hurt him

    • B. 

      Let him perform his own activities of daily living

    • C. 

      Handle him gently when assisting with required care

    • D. 

      Complete A.M. care quickly as possible when necessary

  • 3. 
    A client returns from the recovery room at 9AM alert and oriented, with an IV infusing. His pulse is 82, blood pressure is 120/80, respirations are 20, and all are within normal range. At 10 am and at 11 am, his vital signs are stable. At noon, however, his pulse rate is 94, blood pressure is 116/74, and respirations are 24. What nursing action is most appropriate? 
    • A. 

      Notify his physician.

    • B. 

      Take his vital signs again in 15 minutes.

    • C. 

      Take his vital signs again in an hour.

    • D. 

      Place the patient in shock position.

  • 4. 
    A 56 year old construction worker is brought to the hospital unconscious after falling from a 2-story building. When assessing the client, the nurse would be most concerned if the assessment revealed:
    • A. 

      Reactive pupils

    • B. 

      A depressed fontanel

    • C. 

      Bleeding from ears

    • D. 

      An elevated temperature

  • 5. 
    Which of the ff. statements by the client to the nurse indicates a risk factor for CAD? 
    • A. 

      “I exercise every other day.”

    • B. 

      “My father died of Myasthenia Gravis.”

    • C. 

      “My cholesterol is 180.”

    • D. 

      “I smoke 1 1/2 packs of cigarettes per day.”

  • 6. 
    Mr. Braga was ordered Digoxin 0.25 mg. OD. Which is poor knowledge regarding this drug? 
    • A. 

      It has positive inotropic and negative chronotropic effects

    • B. 

      The positive inotropic effect will decrease urine output

    • C. 

      Toxixity can occur more easily in the presence of hypokalemia, liver and renal problems

    • D. 

      Do not give the drug if the apical rate is less than 60 beats per minute.

  • 7. 
    Valsalva maneuver can result in bradycardia. Which of the following activities will not stimulate Valsalva’s maneuver? 
    • A. 

      Use of stool softeners.

    • B. 

      Enema administration

    • C. 

      Gagging while toothbrushing.

    • D. 

      Lifting heavy objects

  • 8. 
    The nurse is teaching the patient regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker? 
    • A. 

      Take the pulse rate once a day, in the morning upon awakening

    • B. 

      May be allowed to use electrical appliances

    • C. 

      Have regular follow up care

    • D. 

      May engage in contact sports

  • 9. 
    Following surgery, Mario complains of mild incisional pain while performing deep- breathing and coughing exercises. The nurse’s best response would be:  
    • A. 

      “Pain will become less each day.”

    • B. 

      “This is a normal reaction after surgery.”

    • C. 

      “With a pillow, apply pressure against the incision.”

    • D. 

      “I will give you the pain medication the physician ordered.”

  • 10. 
    The nurse needs to carefully assess the complaint of pain of the elderly because older people 
    • A. 

      Are expected to experience chronic pain

    • B. 

      Have a decreased pain threshold

    • C. 

      Experience reduced sensory perception

    • D. 

      Have altered mental function

  • 11. 
    Mary received AtropineSO4 as a pre-medication 30 minutes ago and is now complaining of dry mouth and her PR is higher, than before the medication was administered. The nurse’s best 
    • A. 

      The patient is having an allergic reaction to the drug.

    • B. 

      The patient needs a higher dose of this drug

    • C. 

      This is normal side-effect of AtSO4

    • D. 

      The patient is anxious about upcoming surgery

  • 12. 
    Ana’s postoperative vital signs are a blood pressure of 80/50 mm Hg, a pulse of 140, and respirations of 32. Suspecting shock, which of the following orders would the nurse question?
    • A. 

      Put the client in modified Trendelenberg’s position.

    • B. 

      Administer oxygen at 100%.

    • C. 

      Monitor urine output every hour.

    • D. 

      Administer Demerol 50mg IM q4h

  • 13. 
    Mr. Pablo, diagnosed with Bladder Cancer, is scheduled for a cystectomy with the creation of an ileal conduit in the morning. He is wringing his hands and pacing the floor when the nurse enters his room. What is the best approach? 
    • A. 

      "Good evening, Mr. Pablo. Wasn’t it a pleasant day, today?"

    • B. 

      "Mr, Pablo, you must be so worried, I’ll leave you alone with your thoughts.

    • C. 

      “Mr. Pablo, you’ll wear out the hospital floors and yourself at this rate."

    • D. 

      "Mr. Pablo, you appear anxious to me. How are you feeling about tomorrow’s surgery?"

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