NCLEX RN Adult Medical Surgical 2023

NCLEX RN Adult Medical Surgical 2023 Med-Surg III – Proctor 1. A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan of care? – Discourage leg exercises while in bed – Place pillows under the client’s knees – Avoid use of anticoagulants – Apply compressing stockings to the lower extremities 2. A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal? – Remove the needle from the syringe before you place it in the trash – You can discard needlesin an empty bleach bottle with a lid – Place your storage container in a recycle bin when it is full – Secure the cap tightly over the needle before you discard it 3. A nurse is reviewing the laboratory reports of a client who has acute pancreatitis. Which of the following findings should the nurse expect? – Decreased erythrocyte sedimentation rate – Decreased serum amylase – Elevated blood glucose – Elevatesserum calcium 4. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about the sick-day rules. Which of the following statements by the client indicates an understanding of the teaching? – I will consume 250 grams of carbohydrates daily while I’m sick – I will monitor my blood glucose every 8 hours – I will check my urine for ketones in my blood glucose is greater than 240 mg/dL – I will not take my diabetes medications while I am sick lOMoAR cPSD| 5. A nurse is planning health promotion education for a population that is primarily African-American men. The nurse should plan to include teaching on prevention of which of the following disorders? – Hypothyroidism – Hypertension – Sickle cell anemia – Cystic fibrosis 6. A nurse is caring for a client who has a central venous access device and notes the tubing has become disconnected. The client develops dyspnea and tachycardia. Which of the following actions should the nurse take first? – Turn the client to his leftside – Clamp the catheter – Perform an ECG – Obtain ABG values 7. A nurse is performing an ear irrigation for a client. Which of the following actions should the nurse take? – Tilt the client’s head 45 degrees – Point the tip of the syringe toward the top of the ear canal – Insert the tip of the syringe 2.5 cm (1 in) into the ear canal – Use cool fluid for irrigation 8. A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the gra