NCLEX - Med Surg Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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NCLEX - Med Surg Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The nurse performs the Weber tuning fork test on a client. Which finding indicates

the client may have sensorineural hearing loss in the left ear?

• The client cannot hear a whisper in the left ear from 2 feet away. B. The client stops

hearing the tuning fork before the nurse does. C. The client experiences lateralization to the right ear. D. Air conduction is 2 times longer than bone conduction. Correct Answer: The client experiences lateralization to the right ear.

• A client arrives to the medical unit with a diagnosis of hepatitis. The health care

provider believes the client contracted the disease from contaminated food. The nurse explains to the student nurse that which form of hepatitis is the most likely cause? A. Hepatitis B B. Hepatitis D C. Hepatitis C D. Hepatitis A Correct Answer: Hepatitis A

• SATA -- A client with Crohn's disease comes to the hospital for a possible

complication. The nurse teaches a student nurse that which complications are common with Crohn's disease? A. Stool with bright red blood B. Malnutrition C. Intestinal obstruction D. Anxiety E. Anemia Correct Answer: Malnutrition, Intestinal obstruction, Anxiety, Anemia

• SATA -- The nurse educator provides information regarding established risk factors

for heart disease. Which non-modifiable risk factor increases risk for cardiovascular disease (CVD) for an adult client? A. Obesity B. Type 2 diabetes C. Family history D.

Metabolic syndrome Correct Answer: Family history

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• The nurse teaches a client about exercise-induced angina occurring during exercise.

Which steps does the nurse teach the client to take? (Place each option in order, from

first priority to last.) Correct Answer (Order):

• Stop the exercise activity.
• Rest until the pain eases.
• Take a nitroglycerin dose.
• Call the healthcare provider.
• A nurse assesses a client with pneumonia for bronchophony. The nurse uses what

procedure? A. Have the client say a long E sound while auscultating the lungs. B. Have the client say "ninety-nine" while placing the palms on the chest wall. C. Ask the client to whisper a phrase while auscultating the lungs. D. Have the client say "ninety-nine" while auscultating the lungs. Correct Answer: Have the client say "ninety-nine" while auscultating the lungs.

• A client is prescribed cisplatin. The nurse requests clarification when the client is

also prescribed what drug while taking cisplatin? A. Ondansetron B. Acetaminophen C.

Ampicillin D. Gentamicin Correct Answer: Gentamicin

• A nurse provides education about the new diagnosis of bladder cancer to an older

client, who is a longterm smoker with no significant medical history, and her family.The family asks about risk factors associated with bladder cancer. The nurse responds best with which risk factor for this client? A. "Cigarette smoking." B. "Previous cancer diagnosis." C. "Gender." D. "Urinary tract infection." Correct Answer: "Cigarette smoking."

• A nurse cares for a client with terminal chronic obstructive pulmonary disease

(COPD). The family had a team meeting with the health care provider and has decided to take the client home. The nurse begins the discharge process and coordinates with which supportive service? A. Home health nursing B. Meals on Wheels C. Hospice care D.

Long-term care Correct Answer: Hospice care

• A client with multiple pulmonary emboli (PE) is scheduled for placement of an

inferior vena cava (IVC) filter. Which statement by the nurse explains the purpose of this intervention? A. "The device traps blood clots traveling to the lungs." B. "It alerts the healthcare provider when clots develop." C. "The device is inserted to dissolve blood clots in the heart." D. "Medication is delivered to enhance anticoagulation therapy." Correct

Answer: "The device traps blood clots traveling to the lungs."

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• SATA -- The nurse cares for a client with left-sided heart failure. Which actions

does the nurse implement? A. Assess peripheral pulses for strength and quality. B.Document rhythm strips every shift. C. Administer diuretic therapy as prescribed. D.Assess heart rate every hour. E. Provide a low-sodium diet. Correct Answer: Assess peripheral pulses for strength and quality; Document rhythm strips every shift; Administer diuretic therapy as prescribed; Assess heart rate every hour; Provide a low-sodium diet.

• A nurse cares for a client with a nasopharyngeal carcinoma. Which virus has been

associated with this specific carcinoma? A. Norovirus B. Epstein-Barr virus C. Zika virus

D. Influenza virus Correct Answer: Epstein-Barr virus

• A client undergoing chemotherapy treatment for uterine cancer asks the nurse

how chemotherapeutic medications work. Which statement made by the nurse is a correct response? A. "Chemotherapeutic drugs attack all rapidly dividing cells in your body." B. "Chemotherapeutic agents stimulate the cancer cells to divide." C."Antineoplastics change your defective DNA structure, causing cell death." D. "The toxins in all antineoplastic drugs weaken cancer cells." Correct Answer: "Chemotherapeutic drugs attack all rapidly dividing cells in your body."

• SATA -- A nurse develops a care plan for a male client. The nurse includes which

statements about prostate cancer? A. Symptoms may mimic those of benign prostatic hypertrophy. B. Prostate cancer is usually an adenocarcinoma. C. Having a relative with prostate cancer is a risk factor. D. Prostate cancer can be detected through a test for specific antigens. E. Prostate cancer may be detected by digital rectal exam. Correct Answer: Symptoms may mimic those of benign prostatic hypertrophy; Prostate cancer is usually an adenocarcinoma; Having a relative with prostate cancer is a risk factor; Prostate cancer can be detected through a test for specific antigens; Prostate cancer may be detected by digital rectal exam.

• A client is admitted for a traumatic brain injury. The nurse assesses dry mucous

membranes and a urine output of 400 mL/hr for the past 8 hours. (Place each option in

order, from first priority to last.) Correct Answer (Order):

• Complete a neurological assessment.
• Notify the healthcare provider of the client's change in condition.
• Draw laboratory samples as prescribed.
• Administer IV fluids and desmopressin acetate as prescribed.
• The nurse educates a client with newly diagnosed amyotrophic lateral sclerosis

(ALS). The nurse recognizes further education is needed based on which client

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question? A. "How do I prepare advance directives like a living will?" B. "Can I continue to live at home with a feeding tube?" C. "What percentage of clients are cured from this?" D."What kind of exercise program will I need to follow?" Correct Answer: "What percentage of clients are cured from this?"

• SATA -- A nurse provides human immunodeficiency virus (HIV) education at a

community clinic. The nurse includes in the education that which factor affects the transmission of HIV? A. Sex B. Type of sexual contact C. Type of bodily fluid D. Viral load E.Age Correct Answer: Sex; Type of sexual contact; Type of bodily fluid; Viral load.

• SATA -- A nurse prepares to administer human immune globulin (IG) to a client with

primary immunodeficiency. Which information about IG does the nurse provide to the client? A. "Most adverse reactions to IG are mild and transient." B. "IG must be cross- matched to your specific blood type." C. "IG provides lifelong immunity to certain infections." D. "IG is a globular protein that provides passive immunity." E. "IG is collected from human blood and provides antibodies." Correct Answer: "Most adverse reactions to IG are mild and transient."; "IG is a globular protein that provides passive immunity."; "IG is collected from human blood and provides antibodies."

• A client newly diagnosed with celiac disease asks which foods to avoid. The nurse

tells the client to avoid eating what foods? A. Chunky peanut butter B. Low in fat yogurt

C. Whole wheat pasta D. High protein tofu Correct Answer: Whole wheat pasta

• The nurse administers scheduled 0800 medications to a client eating breakfast.

Which medication does the nurse withhold from the client until verifying with the health care provider (HCP)? (See exhibit.) A. Insulin aspart 4 units B. Furosemide 40 mg

C. Metoprolol 12.5 mg D. Lisinopril 5 mg Correct Answer: Furosemide 40 mg

• The nurse cares for a client with Parkinson disease. Which intervention taken by

the nurse promotes safe ambulation? A. Provide nonskid socks and give the client a walker. B. Assist the client to stand and push a wheelchair along the hall. C. Walk side by side with the client while supporting the client's back. D. Tell the client to place their hand along the wall as they walk. Correct Answer: Provide nonskid socks and give the client a walker.

• A client at risk for colorectal cancer receives education about lifestyle choices.

The nurse emphasizes which modifiable risk factor for colorectal cancer? A. Familial adenomatous polyposis B. Greater than 40 years of age C. First-degree relative with cancer

D. Consuming a high-fat diet Correct Answer: Consuming a high-fat diet

• The oncoming nurse reviews the previous nurse's documentation of a client with

acute pancreatitis. The nurses performs which priority assessment after reviewing the