NCLEX Practice Questions (Medical-Surgical Nursing) – EASY

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NCLEX RN practice questions medical surgical

This EASY edition of NCLEX-RN practice questions will test your knowledge about basic principles, skills, and Nursing interventions related to Medical-Surgical Nursing. Use critical thinking in choosing the best answer among the choices. Answers and rationale can be found below.

Source: Mosby’s Review Questions for the NCLEX-RN Examination

 

1. The nurse caring for a client at night insists that the client cannot tolerate the ordered intermittent tube feedings. The primary nurse should first:

a. Suggest that an antiemetic be prescribed

b. Change the feeding schedule to omit nights

c. Request that the type of solution be changed

d. Gather more data from the night nurse about the technique used

 

2. During a mass disaster drill simulating a terrorist attack, the nurse must triage numerous severely ill persons. The client who should receive care first is:

a. Cyanotic and not breathing

b. Gasping for breath and not conscious

c. Apneic and has an apical rate of 50

d. Having a seizure and is incontinent of urine

 

3. A visitor from a room adjacent to a client asks the nurse what disease the client has. Then nurse responds, “I will not discuss any client’s illness with you. Are you concerned about it?” This response is based on the nurse’s knowledge that to discuss a client’s condition with someone not directly involved with that client is an example of:

a. Libel

b. Negligence

c. Breach of confidentiality

d. Defamation of character

 

4. Thrombus formation is a danger for all postoperative clients. The nurse should act independently to prevent this complication by:

a. Assisting the client to exercise in bed

b. Urging the client to drink more fluids

c. Applying elastic stockings to the client’s legs

d. Massaging the client’s extremities gently with lotion

 

5. After a cardiac catheterization, the client complains of tingling sensations in the affected leg. The nurse should first:

a. Assess for bleeding at the catheter insertion site

b. Evaluate the affected leg for signs of inflammation

c. Compare the femoral, popliteal, and pedal pulses in both legs

d. Obtain the temperature, pulse, respiration, and blood pressure

 

6. A high school football coach is admitted to the coronary care unit with a tentative diagnosis of myocardial infarction. When assessing the client’s pain, the nurse would probably expect him to describe it as:

a. Severe, intense chest pain

b. A burning sensation of short duration

c. Mild chest pain, radiating to the fingers

d. A squeezing chest pain, relieved by nitroglycerin

 

7. After surgery for a fractured hip, a client complains of pain. The nurse should:

a. Notify the physician

b. Use distraction techniques

c. Medicate the client as ordered

d. Perform a complete pain assessment

 

8. When teaching about the dietary control of gout, the nurse is aware that the dietary teaching is understood when the client states; “I will avoid eating:

a. Eggs

b. Shellfish

c. Fried poultry

d. Cottage cheese

 

9. A client’s right tibia is fractured in an automobile collision, and a cast is applied. To assess for damage to major blood vessels from the fractured tibia, the nurse should monitor the client for:

a. Swelling of the right thigh

b. An increased blood pressure

c. Increased skin temperature of the foot

d. Prolonged reperfusion of the toes after blanching

 

10. A client with acute renal failure moves into the diuretic phase after 1 week of therapy. During this phase, the client must be assessed for signs of developing:

a. Renal failure

b. Hypovolemia

c. Hyperkalemia

d. Metabolic acidosis

 

See answers and rationales

 

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