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NCLEX Questions #2 Med Surg (With
Rationales) 2025 Comprehensive Questions
With Answers
Which of the following clients would have the most difficulty maintaining
thermoregulation?
1) Young child playing soccer during the summer
2) Middle-aged adult snow skiing
3) Young adult playing golf on a hot day
4) Older adult raking leaves on a cold day - correct-answer-Answer:
4) Older adult raking leaves on a cold day
Rationale:
Older adults have more difficulty maintaining body heat because of their slower
metabolism, loss of subcutaneous fat, and decreased vasomotor control.
The nurse is teaching a child and family about firearm safety. The nurse should
instruct the child to take which step first if he sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
3) Stop where he is.
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4) Tell an adult. - correct-answer-Answer:
3) Stop where he is.
Rationale:
The child should be instructed to stop where he is. This allows him to think about
the next steps he has memorized. Next, he should avoid touching the gun, leave
the area, and immediately go tell an adult.
While teaching a health promotion group of adults, the nurse notices one person
who is clutching his throat with both hands. What should the nurse do first?
1) Call 9-1-1.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows. - correct-answer-Answer:
3) Ask, "Are you choking?"
Rationale:
Clutching the throat is the universal sign of choking. The first action when you
suspect airway obstruction is to ask, "Are you choking?" If the person indicates
"yes," or if the person cannot cough, speak, or breathe, that indicates choking.
You must first be certain the person is choking because you can cause harm when
you perform the choking maneuver. You would not call 9-1-1, encourage coughing,
or give five back blows until you first establish that the person is choking. The
client appears to be giving the universal sign for choking, but the nurse must
validate the client's meaning before acting.
NCLEX Questions #2 Med Surg (With
Rationales) 2025 Comprehensive Questions
With Answers
Which of the following clients would have the most difficulty maintaining
thermoregulation?
1) Young child playing soccer during the summer
2) Middle-aged adult snow skiing
3) Young adult playing golf on a hot day
4) Older adult raking leaves on a cold day - correct-answer-Answer:
4) Older adult raking leaves on a cold day
Rationale:
Older adults have more difficulty maintaining body heat because of their slower
metabolism, loss of subcutaneous fat, and decreased vasomotor control.
The nurse is teaching a child and family about firearm safety. The nurse should
instruct the child to take which step first if he sees a gun at a friend's house?
1) Leave the area.
2) Do not touch the gun.
3) Stop where he is.
, 2|Page
4) Tell an adult. - correct-answer-Answer:
3) Stop where he is.
Rationale:
The child should be instructed to stop where he is. This allows him to think about
the next steps he has memorized. Next, he should avoid touching the gun, leave
the area, and immediately go tell an adult.
While teaching a health promotion group of adults, the nurse notices one person
who is clutching his throat with both hands. What should the nurse do first?
1) Call 9-1-1.
2) Encourage the person to cough vigorously.
3) Ask, "Are you choking?"
4) Give five back blows. - correct-answer-Answer:
3) Ask, "Are you choking?"
Rationale:
Clutching the throat is the universal sign of choking. The first action when you
suspect airway obstruction is to ask, "Are you choking?" If the person indicates
"yes," or if the person cannot cough, speak, or breathe, that indicates choking.
You must first be certain the person is choking because you can cause harm when
you perform the choking maneuver. You would not call 9-1-1, encourage coughing,
or give five back blows until you first establish that the person is choking. The
client appears to be giving the universal sign for choking, but the nurse must
validate the client's meaning before acting.
