NCLEX Practice Test For Medical Surgical Nursing 4 (Practice Mode)- Www.Rnpedia.Com

13 Questions | Total Attempts: 2201

SettingsSettingsSettings
NCLEX Practice Test For Medical Surgical Nursing 4 (Practice Mode)- Www.Rnpedia.Com

Mark the letter of the letter of choice then click on the next button. Answer will be revealed after each question. No time limit to finish the exam. Good luck!


Questions and Answers
  • 1. 
    The nurse is performing her admission assessment of a patient. When grading arterial pulses, a 1+ pulse indicates:
    • A. 

      Above normal perfusion.

    • B. 

      Absent perfusion.

    • C. 

      Normal perfusion.

    • D. 

      Diminished perfusion.

  • 2. 
    Murmurs that indicate heart disease are often accompanied by other symptoms such as: 
    • A. 

      Dyspnea on exertion.

    • B. 

      Subcutaneous emphysema

    • C. 

      Thoracic petechiae

    • D. 

      Periorbital edema

  • 3. 
    Which pregnancy-related physiologic change would place the patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? 
    • A. 

      Decrease heart rate

    • B. 

      Decreased cardiac output

    • C. 

      Increased plasma volume

    • D. 

      Increased blood pressure

  • 4. 
    The priority nursing diagnosis for the patient with cardiomyopathy is:
    • A. 

      Anxiety related to risk of declining health status

    • B. 

      Ineffective individual coping related to fear of debilitating illness

    • C. 

      Fluid volume excess related to altered compensatory mechanisms.

    • D. 

      Decreased cardiac output related to reduced myocardial contractility.

  • 5. 
    A patient with thrombophlebitis reached her expected outcomes of care. Her affected leg appears pink and warm. Her pedal pulse is palpable and there is no edema present. Which step in the nursing process is described above? 
    • A. 

      Planning

    • B. 

      Implementation

    • C. 

      Analysis

    • D. 

      Evaluation

  • 6. 
    An elderly patient may have sustained a basilar skull fracture after slipping and falling on an icy sidewalk. The nurse knows that basilar skull factures: 
    • A. 

      Are the least significant type of skull fracture.

    • B. 

      May have cause cerebrospinal fluid (CSF) leaks from the nose or ears.

    • C. 

      Have no characteristic findings.

    • D. 

      Are always surgically repaired.

  • 7. 
    Which of the following types of drugs might be given to control increased intracranial pressure (ICP)? 
    • A. 

      Barbiturates

    • B. 

      Carbonic anhydrase inhibitors

    • C. 

      Anticholinergics

    • D. 

      Histamine receptor blockers

  • 8. 
    The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP? 
    • A. 

      Decreased systolic blood pressure

    • B. 

      Headache and vomiting

    • C. 

      Dilated pupils that don’t react to light

    • D. 

      Dilated pupils that don’t react to light

  • 9. 
    Jessie James is diagnosed with retinal detachment. Which intervention is the most important for this patient? 
    • A. 

      Admitting him to the hospital on strict bed rest

    • B. 

      Patching both of his eyes

    • C. 

      Referring him to an ophthalmologist

    • D. 

      Preparing him for surgery

  • 10. 
    Dr. Bruce Owen, a chemist, sustained a chemical burn to one eye. Which intervention takes priority for a patient with a chemical burn of the eye? 
    • A. 

      Patch the affected eye and call the ophthalmologist.

    • B. 

      Administer a cycloplegic agent to reduce ciliary spasm.

    • C. 

      Immediately instill a tropical anesthetic, then irrigate the eye with saline solution.

    • D. 

      Administer antibiotics to reduce the risk of infection

  • 11. 
    The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders? 
    • A. 

      Cerebrovascular accident (CVA)

    • B. 

      Meningitis

    • C. 

      Seizure disorder

    • D. 

      Parkinson’s disease

  • 12. 
    A patient is admitted to the hospital for a brain biopsy. The nurse knows that the most common type of primary brain tumor is:
    • A. 

      Meningioma

    • B. 

      Angioma

    • C. 

      Hemangioblastoma

    • D. 

      Glioma

  • 13. 
    The nurse should instruct the patient with Parkinson’s disease to avoid which of the following?
    • A. 

      Walking in an indoor shopping mall

    • B. 

      Sitting on the deck on a cool summer evening

    • C. 

      Walking to the car on a cold winter day

    • D. 

      Sitting on the beach in the sun on a summer day