NUR 120 (Med-Surg Test 3) NCLEX STYLE PRACTICE
COMPLETE EXAM LATEST VERSION 2026-2027
QUESTIONS AND ANSWERS
The nurse performs a postoperative assessment of a client recovering from a thyroidectomy. The nurse
notes that the client can only whisper. Which is the CORRECT action for the nurse to take?
A) Thoroughly suction the oropharyngeal area
B) Elevate the head of the bed, administer oxygen at two liters per minute, and check the client in 15
minutes
C) Ensure that a tracheostomy set is at the bedside and notify the health care provider immediately
D) Prepare a weakened solution of warm salt water and ask the client to gargle
**K** - answer>>C
(Ensure that a tracheostomy set is at the bedside and notify the health care provider immediately)
A client is newly diagnosed with type 1 diabetes. The nurse talks with the client prior to discharge and
discovers the client lives alone. Discharge planning should include arranging home visits by which health
care provider?
A) A home health nurse
B) A physical therapist
C) An occupational therapist
D) A respiratory therapist
**K** - answer>>A
(A home health nurse)
,The nurse counsels a client diagnosed with iron deficiency anemia. The nurse determines teaching is
effective if the client selects which menu?
A) broiled fish, green vegetables, and milk
B) Fried chicken, yellow vegetables, and fruit juice
C) Flank steak, green leafy vegetables, and prunes
D) Grilled cheese sandwich, creamed soup, and tomato salad
**K** - answer>>C
(Flank steak, green leafy vegetables, and prunes)
An older client is diagnosed with iron deficiency anemia. The client states that even though an "iron pill"
is taken daily, the client is feeling more and more fatigued. Which action does the nurse take FIRST?
A) Instruct the client to balance rest and activity
B) Obtain a stool specimen to test for occult blood
C) Contact the health care provider
D) Instruct the client about eating food high in iron
**K** - answer>>B
(Obtain a stool specimen to test for occult blood)
The nurse assesses the dietary education provided to a client with pernicious anemia. The client's
selection of which food indicates the teaching is EFFECTIVE?
A) Cheese
B) Popcorn
C) Spinach
,D) Red meat
**K** - answer>>D
(Red meat)
The nurse provides care for a client diagnosed with Addison disease. Which is the CORRECT reason the
nurse protects the client from stressors such as noise, environmental changes, and light?
A) The client is hypercalcemic
B) The client may develop Curling ulcers
C) The client is not producing corticosteroids
D) The client is overproducing antidiuretic hormone
**K** - answer>>C
(The client is not producing corticosteroids)
Which intravenous solution does the nurse use before and after administration of a blood transfusion?
A) Isotonic saline
B) Dextrose 5% in Water (D5W)
C) Lactated Ringer solution
D) Any solution may be used
**K** - answer>>A
(Isotonic saline)
, Which is the correct nursing procedure for administering a blood transfusion?
A) Allowing the blood to remain at room temperature no more than one hour before administration
B) Comparing the laboratory blood type record with ABO group and Rh type on the blood bag label
C) Using a 22-gauge needle with intravenous tubing
D) Avoiding inversion of the bag, which may damage the blood cells
**K** - answer>>B
(Comparing the laboratory blood type record with ABO group and Rh type on the blood bag label)
Which is the MOST important for the nurse to consider when planning the care for the client receiving
chemotherapy?
A) Instructing individuals who are visiting the client to wash hands
B) Minimizing or preventing alopecia by using an ice cap
C) Maintaining adequate gastrointestinal function to ensure adequate nutrition
D) Minimizing hemorrhagic cystitis by increasing intravenous (IV) fluids
**K** - answer>>A
(Instructing individuals who are visiting the client to wash hands)
A client diagnosed with Cushing Syndrome had a bilateral adrenalectomy. After the operation, the nurse
discusses the medication plan with the client. Which client statement indicates the nurse's
postoperative teaching is successful?
A) "I will call the health care provider if I need a medication holiday."
B) "I can stop taking the medication as soon as I feel better."
COMPLETE EXAM LATEST VERSION 2026-2027
QUESTIONS AND ANSWERS
The nurse performs a postoperative assessment of a client recovering from a thyroidectomy. The nurse
notes that the client can only whisper. Which is the CORRECT action for the nurse to take?
A) Thoroughly suction the oropharyngeal area
B) Elevate the head of the bed, administer oxygen at two liters per minute, and check the client in 15
minutes
C) Ensure that a tracheostomy set is at the bedside and notify the health care provider immediately
D) Prepare a weakened solution of warm salt water and ask the client to gargle
**K** - answer>>C
(Ensure that a tracheostomy set is at the bedside and notify the health care provider immediately)
A client is newly diagnosed with type 1 diabetes. The nurse talks with the client prior to discharge and
discovers the client lives alone. Discharge planning should include arranging home visits by which health
care provider?
A) A home health nurse
B) A physical therapist
C) An occupational therapist
D) A respiratory therapist
**K** - answer>>A
(A home health nurse)
,The nurse counsels a client diagnosed with iron deficiency anemia. The nurse determines teaching is
effective if the client selects which menu?
A) broiled fish, green vegetables, and milk
B) Fried chicken, yellow vegetables, and fruit juice
C) Flank steak, green leafy vegetables, and prunes
D) Grilled cheese sandwich, creamed soup, and tomato salad
**K** - answer>>C
(Flank steak, green leafy vegetables, and prunes)
An older client is diagnosed with iron deficiency anemia. The client states that even though an "iron pill"
is taken daily, the client is feeling more and more fatigued. Which action does the nurse take FIRST?
A) Instruct the client to balance rest and activity
B) Obtain a stool specimen to test for occult blood
C) Contact the health care provider
D) Instruct the client about eating food high in iron
**K** - answer>>B
(Obtain a stool specimen to test for occult blood)
The nurse assesses the dietary education provided to a client with pernicious anemia. The client's
selection of which food indicates the teaching is EFFECTIVE?
A) Cheese
B) Popcorn
C) Spinach
,D) Red meat
**K** - answer>>D
(Red meat)
The nurse provides care for a client diagnosed with Addison disease. Which is the CORRECT reason the
nurse protects the client from stressors such as noise, environmental changes, and light?
A) The client is hypercalcemic
B) The client may develop Curling ulcers
C) The client is not producing corticosteroids
D) The client is overproducing antidiuretic hormone
**K** - answer>>C
(The client is not producing corticosteroids)
Which intravenous solution does the nurse use before and after administration of a blood transfusion?
A) Isotonic saline
B) Dextrose 5% in Water (D5W)
C) Lactated Ringer solution
D) Any solution may be used
**K** - answer>>A
(Isotonic saline)
, Which is the correct nursing procedure for administering a blood transfusion?
A) Allowing the blood to remain at room temperature no more than one hour before administration
B) Comparing the laboratory blood type record with ABO group and Rh type on the blood bag label
C) Using a 22-gauge needle with intravenous tubing
D) Avoiding inversion of the bag, which may damage the blood cells
**K** - answer>>B
(Comparing the laboratory blood type record with ABO group and Rh type on the blood bag label)
Which is the MOST important for the nurse to consider when planning the care for the client receiving
chemotherapy?
A) Instructing individuals who are visiting the client to wash hands
B) Minimizing or preventing alopecia by using an ice cap
C) Maintaining adequate gastrointestinal function to ensure adequate nutrition
D) Minimizing hemorrhagic cystitis by increasing intravenous (IV) fluids
**K** - answer>>A
(Instructing individuals who are visiting the client to wash hands)
A client diagnosed with Cushing Syndrome had a bilateral adrenalectomy. After the operation, the nurse
discusses the medication plan with the client. Which client statement indicates the nurse's
postoperative teaching is successful?
A) "I will call the health care provider if I need a medication holiday."
B) "I can stop taking the medication as soon as I feel better."
