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Test bank for MED/SURG Final NCLEX questions and verified answers
Test bank for MED/SURG Final NCLEX questions and verified answers
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Test bank for MED/SURG Final NCLEXquestions and verified answers
1. 1. A patient who was recently diagnosed with Gastroesophageal Reflux Disease (GERD)
was just educated on the importance of nutrition and what foods to avoid. What
statement made by the patient, indicates the need for further teaching?
2.
3. a. " I will avoid foods like French fries and citrus juices to decrease my chances of acid
reflux and heart burn"
4. b. "I will continue to drink 2 cups of coffee each morning when I wake up, to make sure I
have enough energy for the day"
5. c. " I need to find another dessert I can eat each night before bed, because the
chocolate ice cream I eat every night will exacerbate my Gastroesophageal Reflux"
6. d. " I need to drink more room temperature water to make sure my body has help when
properly digesting my meals" - ANS-B. "I will continue to drink 2 cups of coffee each
morning when I wake up, to make sure I have enough energy for the day"
7. A 15-year-old patient presents to the emergency department with appendicitis. The
nurse should anticipate which nursing management cares to be given? (select all that
apply)
8.
9. A. Keep the patient NPO
10.
11. B. Monitor vital signs
12.
13. C. Administer fluids, analgesics, and antiemetic's as ordered
14.
15. D. Place a heating pad on abdomen for pain relief
16.
17. E. Give enema as ordered - ANS-A. Keep the patient NPO
18.
19. B. Monitor vital signs
20.
21. C. Administer fluids, analgesics, and antiemetic's as ordered
22. A 17-year old male patient has a diagnosis of Hemophilia A.The patient understands his
condition when he states: (Select all that apply)
23.
24. A. I should take a baby aspirin every day for heart health
25. B. Heparin will help my blood clot more efficiently
26. C. I am due for my flu shot
,27. D. I should shave my beard with an electric razor
28. E. I should use a soft bristled toothbrush when I brush my teeth - ANS-D. I should shave
my beard with an electric razor
29. E. I should use a soft bristled toothbrush when I brush my teeth
30. A 25 year old female patient is diagnosed with viral hepatitis. The provider prescribes
Ribavirin, before administering the nucleoside what test will the nurse give to the
patient?
31.
32. a). Liver function test
33. b). Pregnancy test
34. c). Occult blood test
35. d). Urinalysis - ANS-b). Pregnancy test
36. A 27-year-old female patient presents to the ICU after a severe thoracic burn injury. She
presents with the following vitals: BP of 90/67, HR of 135, temperature of 100.1, and
respiratory rate of 24. She is unconscious, unresponsive, and has purpura present on
both lower calves. It's suspected this patient is experiencing DIC as a result of
hypovolemic shock. Which of the orders should the nurse QUESTION from the
physician?
37.
38. A. IV bolus of NS 0.9%
39. B. Administer STAT order of RBC's
40. C. 500 units of IV heparin
41. D. Administer STAT oral anticoagulants - ANS-D. Administer STAT oral anticoagulants
42. A 28 year old female patient presents to the emergency room with severe bronchospasm
and respiratory distress along with swelling of the lips and tongue. The patient appears
to be wheezing and has flushing of the skin. This patient is experiencing shock that
could be caused by which of the following (select all that apply)
43.
44. A. foods/ ingestion
45. B. blood or blood products
46. C. environmental agents
47. D. myocardial Infarction
48. E. Sepsis - ANS-A. foods/ ingestion
49. B. blood or blood products
50. C. environmental agents
51. A 35-year old female patient comes into the clinic with a new diagnosis of Addison's
disease. After providing education to the patient about this disease, the nurse knows
further teaching is required when the patient states which of the following?
52.
53. A. "I will need to increase my hydrocortisone dosage during a stressful event such as
surgery or if I contract an infection."
54. B. "Once my hormone levels stabilize my doctor can start lowering my dose and
eventually I'll be able to stop taking hormone therapy."
,55. C. "I'm glad to know I can have a normal life expectancy as long as I follow my
medication regimen."
56. D. "It's best to take my mineralocorticoids in the morning." - ANS-B. "Once my hormone
levels stabilize my doctor can start lowering my dose and eventually I'll be able to stop
taking hormone therapy."
57. A 39-year-old pregnant female patient presents symptoms of dysuria, urgency, and
frequency, which additional symptoms, diagnostic studies, and treatments would be
associated with acute pyelonephritis versus cystitis?
58.
59. A. Flank pain, chills, and fever
60. B. Antibiotics for 3 days
61. C. Urine cultures
62. D. Sensitivity guided antibiotic therapy
63. E. Symptoms generally improve after 1-2 days of therapy - ANS-A. Flank pain, chills,
and fever
64. C. Urine cultures
65. D. Sensitivity guided antibiotic therapy
66. A 45-year-old male patient diagnosed with CKD (chronic kidney disease) is set to
discharge with plans to continue hemodialysis at a dialysis center. Which statement(s), if
made by the patient, would indicate to the nurse that the patient has adequate
understanding of hemodialysis? (Select all that apply)
67.
68. a. "I may experience muscle cramps during dialysis treatment."
69. b. "I will drink a protein shake everyday for breakfast."
70. c. "I will need to restrict my fluid intake if my urine output decreases."
71. d. "I should make sure to eat potassium rich foods with each meal."
72. e. "This treatment will require blood transfusions to be effective." - ANS-a. "I may
experience muscle cramps during dialysis treatment."
73. c. "I will need to restrict my fluid intake if my urine output decreases."
74. A 46-year-old woman has a new diagnosis of Irritable Bowel Syndrome. The nurse
knows that the patient understands the education about Irritable Bowel Syndrome when
she states:
75.
76. A. "I will avoid eating wheat, milk, apples and other food that will irritate my symptoms"
77.
78. B. "I will limit my caffeine, sugar and alcohol intake because it will irritate my condition"
79.
80. C. "Potassium, sodium, and phosphate will need to be restricted from my diet to prevent
unwanted symptoms"
81.
82. D. " No dietary restrictions are needed because IBS isn't effected by food, it's how my
gut is naturally" - ANS-A. "I will avoid eating wheat, milk, apples and other food that will
irritate my symptoms"
, 83. A 48-year-old female presents with complaints that when she coughs or sneezes she
involuntarily "wets her pants a little". Which type of urinary incontinence is she
experiencing?
84.
85. A. Overflow incontinence
86.
87. B. Urge incontinence
88.
89. C. Stress incontinence
90.
91. D. Functional incontinence - ANS-C. Stress incontinence
92. A 50-year-old male is brought into the emergency department by EMS after a motor
vehicle accident. He presents with 10/10 flank pain, hematuria, and an elevated BUN
and creatinine. What does the nurse anticipate the diagnosis to be?
93.
94. A. Pneumothorax
95. B. Chronic kidney injury
96. C. Acute kidney injury
97. D. Pulmonary embolism
98. E. Sepsis - ANS-C. Acute kidney injury
99. A 65-year-old male presents to the emergency room with frequent infections, a fever,
chronic fatigue and has been losing weight over the past few months. The doctor orders
diagnostic tests. Which of the following results of those tests would show that this patient
has chronic lymphocytic leukemia? (select all that apply):
100.
101. A. increase of red blood cells
102. B. WBC > 100,00
103. C. thrombocytopenia
104. D. increase number of lymphocytes in bone marrow
105. E. increase in banded neutrophils and myeloblasts - ANS-B. WBC > 100,00
106. C. thrombocytopenia
107. D. increase number of lymphocytes in bone marrow
108. A 67-year-old male has just been admitted into the Emergency Department late into
the night. He is severely confused, agitated, and complains of severe chest pain. His
wife is present with him and is very concerned about her husband. After receiving some
blood tests, he is diagnosed with primary polycythemia vera. The nurse begins to
provide education about how to manage his polycythemia. Which of the following would
the nurse need to RE-EDUCATE based on patient response? (select all that apply)
109.
110. A. "If I would have received blood tests earlier, I could have prevented myself from
getting diagnosed with polycythemia."
111. B. "I will need to get multiple phlebotomies done in order to keep my hematocrit level
less than 45%."
112. C. "I will begin to start taking my low dose aspirin every morning."
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