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MED/SURG Final NCLEX questions
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MED/SURG Final NCLEX questions
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MED/SURG FINAL NCLEX QUESTIONSAND ANSWERS ELABOLATION
educated on the importance of nutrition and what foods to avoid. What statement made by the patient,
indicates the need for further teaching?
a. " I will avoid foods like French fries and citrus juices to decrease my chances of acid reflux and heart
burn"
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"
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"
d. " I need to drink more room temperature water to make sure my body has help when properly
digesting my meals" - 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"
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)
A. Keep the patient NPO
B. Monitor vital signs
C. Administer fluids, analgesics, and antiemetic's as ordered
D. Place a heating pad on abdomen for pain relief
E. Give enema as ordered - A. Keep the patient NPO
B. Monitor vital signs
,C. Administer fluids, analgesics, and antiemetic's as ordered
A 17-year old male patient has a diagnosis of Hemophilia A.The patient understands his condition when
he states: (Select all that apply)
A. I should take a baby aspirin every day for heart health
B. Heparin will help my blood clot more efficiently
C. I am due for my flu shot
D. I should shave my beard with an electric razor
E. I should use a soft bristled toothbrush when I brush my teeth - D. I should shave my beard with an
electric razor
E. I should use a soft bristled toothbrush when I brush my teeth
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?
a). Liver function test
b). Pregnancy test
c). Occult blood test
d). Urinalysis - b). Pregnancy test
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?
A. IV bolus of NS 0.9%
B. Administer STAT order of RBC's
C. 500 units of IV heparin
D. Administer STAT oral anticoagulants - D. Administer STAT oral anticoagulants
,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)
A. foods/ ingestion
B. blood or blood products
C. environmental agents
D. myocardial Infarction
E. Sepsis - A. foods/ ingestion
B. blood or blood products
C. environmental agents
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?
A. "I will need to increase my hydrocortisone dosage during a stressful event such as surgery or if I
contract an infection."
B. "Once my hormone levels stabilize my doctor can start lowering my dose and eventually I'll be able to
stop taking hormone therapy."
C. "I'm glad to know I can have a normal life expectancy as long as I follow my medication regimen."
D. "It's best to take my mineralocorticoids in the morning." - B. "Once my hormone levels stabilize my
doctor can start lowering my dose and eventually I'll be able to stop taking hormone therapy."
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?
A. Flank pain, chills, and fever
B. Antibiotics for 3 days
, C. Urine cultures
D. Sensitivity guided antibiotic therapy
E. Symptoms generally improve after 1-2 days of therapy - A. Flank pain, chills, and fever
C. Urine cultures
D. Sensitivity guided antibiotic therapy
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)
a. "I may experience muscle cramps during dialysis treatment."
b. "I will drink a protein shake everyday for breakfast."
c. "I will need to restrict my fluid intake if my urine output decreases."
d. "I should make sure to eat potassium rich foods with each meal."
e. "This treatment will require blood transfusions to be effective." - a. "I may experience muscle cramps
during dialysis treatment."
c. "I will need to restrict my fluid intake if my urine output decreases."
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:
A. "I will avoid eating wheat, milk, apples and other food that will irritate my symptoms"
B. "I will limit my caffeine, sugar and alcohol intake because it will irritate my condition"
C. "Potassium, sodium, and phosphate will need to be restricted from my diet to prevent unwanted
symptoms"
D. " No dietary restrictions are needed because IBS isn't effected by food, it's how my gut is naturally" -
A. "I will avoid eating wheat, milk, apples and other food that will irritate my symptoms"
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