1
SCI MISC MED-SURG-NCLEX Questions
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A home health nurse knows that a 70-year-old male client
who is convalescing at home following a hip replacement is
at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk?
Rationale:
Thin, nonelastic skin (C), is an important factor in decubitus
formation. Proportion of body fat to lean mass increases
with age (A), and might help decrease ulcer tendency. (B)
results in gray hair. (D) can contribute to broken bones, but
it is probably not a factor in decubitus formation.
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin with loss of elasticity
D. Calcium loss in the
bones Submit
Incorrect | Correct Answer: C
Which abnormal lab finding indicates that a client with
diabetes needs further evaluation for diabetic nephropathy?
Rationale:
Microalbuminuria (B) is the earliest sign of diabetic
nephropathy and indicates the need for follow-up evaluation.
Hyperkalemia, not (A), is associated with end stage renal
disease caused by diabetic nephropathy. (C) may be elevated
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in end stage renal disease. (D) may signal the onset of
diabetic ketoacidosis (DKA).
A. Hypokalemia
B. Microalbuminuria
C. Elevated serum lipids
D. Ketonur
ia Submit
Incorrect | Correct Answer: B
When preparing a male client who has had a total
laryngectomy for discharge, what instruction would be most
important for the nurse to include in the discharge teaching?
Rationale:
It is imperative that total neck breathers carry a medical alert
card (C) that notifies healthcare personnel of the need to use
mouth-to-stoma breathing in the event of a cardiac arrest in
this client. Mouth-to-mouth resuscitation will not establish a
patent airway. (A and D) are not necessary. There are many
alternative means of communication for clients who have had
a laryngectomy; dependence upon writing messages (B) is
probably the least effective.
A. Recommend that the client carry suction
equipment at all times.
SCI MISC MED-SURG-NCLEX Questions
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B. Instruct the client to have writing materials with
him at all times.
C. Tell the client to carry a medic alert card that
explains his condition.
D. Caution the client not to travel outside of the
United States alone.
Submit
Correct | Correct Answer: C
The nurse is counseling a healthy 30-year-old female client
regarding osteoporosis prevention. Which activity would be
most beneficial in achieving the client's goal of osteoporosis
prevention?
Rationale:
Weight-bearing exercise is an important measure to reduce
the risk of osteoporosis. Of the activities listed, cross-
country skiing (A) includes the most weight-bearing, while
(B, C, and D) involve less.
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaki
ng Submit
Incorrect | Correct Answer: A
SCI MISC MED-SURG-NCLEX Questions
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, 4
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An antacid (Maalox) is prescribed for a client with peptic ulcer
disease. What is the therapeutic action of this medication
which is effective in treating the client's ulcer?
Rationale:
The objective of antacids is to neutralize gastric acids and
keep a pH of 3.5 or above
(C) which is necessary for pepsinogen inactivity. (A) is the
therapeutic effect of H2 receptor antagonists, such as
ranitidine (Zantac). (B) is the therapeutic effect of
sucralfate (Carafate). (D) is the therapeutic effect of
anticholinergic drugs such as propantheline bromide (Pro-
Banthine) used as adjunctive therapy with antacids.
A. Decrease in the production of gastric secretions
B. Production of an adherent barrier over the ulcer
C. Maintenance of a gastric pH of 3.5 or above
D. Decrease in the gastric motor
activity Submit
Correct | Correct Answer: C
A nurse working in a community health setting is performing
primary health screenings. Which individual is at highest risk
for contracting an HIV infection? Rationale:
(A) is at greatest risk for developing sexually transmitted
diseases, including HIV, because the greater the number of
SCI MISC MED-SURG-NCLEX Questions
And Answers 100%Correct/Verified
Assured Success Latest Update 2022
SCI MISC MED-SURG-NCLEX Questions
And Answers 100%Correct/Verified
Assured Success Latest Update 2022
A home health nurse knows that a 70-year-old male client
who is convalescing at home following a hip replacement is
at risk for developing decubitus ulcers. Which physical
characteristic of aging contributes to such a risk?
Rationale:
Thin, nonelastic skin (C), is an important factor in decubitus
formation. Proportion of body fat to lean mass increases
with age (A), and might help decrease ulcer tendency. (B)
results in gray hair. (D) can contribute to broken bones, but
it is probably not a factor in decubitus formation.
A. 16% increase in overall body fat
B. Reduced melanin production
C. Thinning of the skin with loss of elasticity
D. Calcium loss in the
bones Submit
Incorrect | Correct Answer: C
Which abnormal lab finding indicates that a client with
diabetes needs further evaluation for diabetic nephropathy?
Rationale:
Microalbuminuria (B) is the earliest sign of diabetic
nephropathy and indicates the need for follow-up evaluation.
Hyperkalemia, not (A), is associated with end stage renal
disease caused by diabetic nephropathy. (C) may be elevated
SCI MISC MED-SURG-NCLEX Questions
And Answers 100%Correct/Verified
Assured Success Latest Update 2022
, 2
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in end stage renal disease. (D) may signal the onset of
diabetic ketoacidosis (DKA).
A. Hypokalemia
B. Microalbuminuria
C. Elevated serum lipids
D. Ketonur
ia Submit
Incorrect | Correct Answer: B
When preparing a male client who has had a total
laryngectomy for discharge, what instruction would be most
important for the nurse to include in the discharge teaching?
Rationale:
It is imperative that total neck breathers carry a medical alert
card (C) that notifies healthcare personnel of the need to use
mouth-to-stoma breathing in the event of a cardiac arrest in
this client. Mouth-to-mouth resuscitation will not establish a
patent airway. (A and D) are not necessary. There are many
alternative means of communication for clients who have had
a laryngectomy; dependence upon writing messages (B) is
probably the least effective.
A. Recommend that the client carry suction
equipment at all times.
SCI MISC MED-SURG-NCLEX Questions
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B. Instruct the client to have writing materials with
him at all times.
C. Tell the client to carry a medic alert card that
explains his condition.
D. Caution the client not to travel outside of the
United States alone.
Submit
Correct | Correct Answer: C
The nurse is counseling a healthy 30-year-old female client
regarding osteoporosis prevention. Which activity would be
most beneficial in achieving the client's goal of osteoporosis
prevention?
Rationale:
Weight-bearing exercise is an important measure to reduce
the risk of osteoporosis. Of the activities listed, cross-
country skiing (A) includes the most weight-bearing, while
(B, C, and D) involve less.
A. Cross-country skiing
B. Scuba diving
C. Horseback riding
D. Kayaki
ng Submit
Incorrect | Correct Answer: A
SCI MISC MED-SURG-NCLEX Questions
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, 4
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An antacid (Maalox) is prescribed for a client with peptic ulcer
disease. What is the therapeutic action of this medication
which is effective in treating the client's ulcer?
Rationale:
The objective of antacids is to neutralize gastric acids and
keep a pH of 3.5 or above
(C) which is necessary for pepsinogen inactivity. (A) is the
therapeutic effect of H2 receptor antagonists, such as
ranitidine (Zantac). (B) is the therapeutic effect of
sucralfate (Carafate). (D) is the therapeutic effect of
anticholinergic drugs such as propantheline bromide (Pro-
Banthine) used as adjunctive therapy with antacids.
A. Decrease in the production of gastric secretions
B. Production of an adherent barrier over the ulcer
C. Maintenance of a gastric pH of 3.5 or above
D. Decrease in the gastric motor
activity Submit
Correct | Correct Answer: C
A nurse working in a community health setting is performing
primary health screenings. Which individual is at highest risk
for contracting an HIV infection? Rationale:
(A) is at greatest risk for developing sexually transmitted
diseases, including HIV, because the greater the number of
SCI MISC MED-SURG-NCLEX Questions
And Answers 100%Correct/Verified
Assured Success Latest Update 2022
