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Med Surg Nclex Adult Exam With 100% Correct And Verified Answers 2024
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Med Surg Nclex Adult Exam With 100% Correct And Verified Answers 2024
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Med Surg Nclex Adult Exam With 100% Correct And Verified Answers 2024The nurse is conducting a session about the principles of first aid and is discussing the interventions for a snakebite to an extremity. The nurse should inform those attending the session that the first priority intervention in the event of this occurrence is which action?
1. Immobilize the affected extremity.
2. Remove jewelry and constricting clothing from the victim.
3. Place the extremity in a position so that it is below the level of the heart. 4. Move the victim to a safe area away from the snake and encourage the victim to rest.
- Correct Answer-4.
A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?
1. "Come to the emergency department."
2. "Apply calamine lotion immediately to the exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your skin." - Correct Answer-3.
The clinic nurse notes that the HCP has documented a diagnosis of herpes zoster in the
client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test?
1. Patch test
2. Skin biopsy
3. Culture of the lesion
4. Wood's light examination - Correct Answer-3.
The nurse is preparing to care for a burn client scheduled for an escharotomy procedure
being performed for a third-degree circumferential arm burn. The nurse understands that which finding is the anticipated therapeutic outcome of the escharotomy?
1. Return of distal pulses
2. Brisk bleeding from the site
3. Decreasing edema formation
4. Formation of granulation tissue - Correct Answer-1.
The nurse is caring for a client who suffered an inhalation injury from a wood stove. The
carbon monoxide blood report reveals a level of 12%. Based on this level, the nurse would anticipate noting which sign in the client?
1. Coma
2. Flushing
3. Dizziness 4. Tachycardia - Correct Answer-2.
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. CBC
4. WBC count - Correct Answer-2
A client with severe acne is seen in the clinic and the health care provider prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is taking which medication?
1. Vitamin A
2. Digoxin
3. Furosemide
4. Phenytoin - Correct Answer-1.
The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. Because of the medication prescription, the nurse would suspect that the client is being treated for which condition?
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex - Correct Answer-1.
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times?
1. Immediately before swimming
2. 5 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - Correct Answer-4.
The nurse is reviewing the laboratory results of a client diagnosed with multiple myeloma. Which would the nurse expect to note specifically in this disorder?
1. Increased calcium level
2. Increased white blood cells
3. Decreased blood urea nitrogen level
4. Decreased number of plasma cells in the bone marrow - Correct Answer-1.
The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan?
1. Encouraging fluids
2. Providing frequent oral care
3. Coughing and deep breathing
4. Monitoring the red blood cell count - Correct Answer-1. When caring for a client with an internal radiation implant, the nurse should observe which principles? Select all that apply.
1. Limiting the time with the client to 1 hour per shift.
2. Keeping pregnant women out of the client's room
3. Placing the client in a private room with a private bath.
4. Wearing a lead shield when providing direct patient care.
5. Removing the dosimeter film badge when entering the client's room.
6. Allowing individuals younger than 16 years old in the room as long as they are 6 feet away from the client. - Correct Answer-2,3,4.
During the admission assessment of a client with advanced ovarian cancer, the nurse recognizes which symptom as typical of the disease?
1. Diarrhea
2. Hypermenorrhea
3. Abnormal bleeding
4. Abdominal distention - Correct Answer-4.
The nurse is reviewing the history of a client with bladder cancer. The nurse expects to note documentation of which most common symptom of this type of cancer?
1. Dysuria
2. Hematuria
3. Urgency on urination
4. Frequency of urination - Correct Answer-2.
The nurse is assessing a client who has a new ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care?
1. "I change my pouch every week."
2. "I change the appliance in the morning."
3. "I empty the urinary collection bag when it is two-thirds full."
4. "When I'm in the shower I direct the flow of water away from my stoma." - Correct Answer-3.
A client with carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone as a complication of the cancer. The nurse anticipates that they health care provider will request which prescription? Select all that apply. 1. Radiation
2. Chemotherapy
3. Increased fluid intake
4. Decreased oral sodium intake
5. Serum sodium level determination
6. Medication that is antagonistic to antidiuretic hormone - Correct Answer-1,2,5,6.
The nurse is monitoring a client for signs and symptoms related to superior vena cava syndrome. Which is an early sign of this oncological emergency?
1. Cyanosis
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