lOMoAR cPSD| 28505380
lOMoAR cPSD| 28505380
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 needles in 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
– Elevates serum 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| 28505380
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 left side
– 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 graft?
– Absence of a bruit
– Palpable thrill
– Normotensive blood pressure
– Dilated appearance of the graft
9. A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first?
– Monitor urine output
– Administer IV therapy
– Insert a large-bore IV catheter
– Obtain a blood specimen for type and crossmatch
, lOMoAR--
28505380
cPSD|
10. A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates that the client is experiencing hypoglycemia?
– Fruity odor to breath
– Abdominal cramping
– Increased perspiration
– Dehydration
11. -A-nurse-is-assessing-an-older-adult-client-at-a-health-fair.-Which-of-the-following-
statements-by-the-client-is-the-nurse’s-priority?
– I’ve-noticed-that-there-is-a-gray-ring-around-the-colored-part-of-my-eye
– I-can’t-seem-to-get-reading-materials-far-enough-away-to-see-the-words
– I’m-having-more-difficulty-telling-the-difference-between-blues-and-greens
– In-the-last-day,-I-have-had-a-severe-headache-and-pain-around-my-right-eye
12. A-nurse-is-providing-dietary-teaching-to-a-client-who-is-at-risk-for-developing-cancer.
Which-of-the-following-instruction-should-the-nurse-indicate?
– Eat-1-cup-of-fruits-and-vegetables-each-day
– Choose-solid-fats-when-cooking
– Select-lean-meats
– Consume-foods-low-in-fiber
13. A-hospice-nurse-is-visiting-the-caregiver-of-a-client-who-died- (6)-months-ago.-Which-of-
the-following-statements-made-by-the-caregiver-suggests-an-uncomplicated-grief-
response?
– It’s-been-months-and-I-still-cannot-believe-they-are-gone
– I-have-joined-a-grief-support-group-at-my-church
– I-am-taking-time-off-work-for-a-while
– I-started-taking-art-lessons
14. A-nurse-is-planning-care-for-a-client-who-is-8-hr.-postoperative-following-a-coronary-
artery-bypass-grafting.-Which-of-the-following-assessments-should-the-nurse-plan-to-
perform-first?
– Palpate-pulses-distal-to-the-graft-donor-site
– Auscultate-breath-sounds
– Examine-the-surgical-incision-for-drainage
– Measure-the-client’s-core-body-temperature
lOMoAR cPSD| 28505380
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 needles in 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
– Elevates serum 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| 28505380
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 left side
– 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 graft?
– Absence of a bruit
– Palpable thrill
– Normotensive blood pressure
– Dilated appearance of the graft
9. A nurse in the emergency department is caring for a client who is in hypovolemic
shock. Which of the following actions should the nurse take first?
– Monitor urine output
– Administer IV therapy
– Insert a large-bore IV catheter
– Obtain a blood specimen for type and crossmatch
, lOMoAR--
28505380
cPSD|
10. A nurse is assessing a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following findings indicates that the client is experiencing hypoglycemia?
– Fruity odor to breath
– Abdominal cramping
– Increased perspiration
– Dehydration
11. -A-nurse-is-assessing-an-older-adult-client-at-a-health-fair.-Which-of-the-following-
statements-by-the-client-is-the-nurse’s-priority?
– I’ve-noticed-that-there-is-a-gray-ring-around-the-colored-part-of-my-eye
– I-can’t-seem-to-get-reading-materials-far-enough-away-to-see-the-words
– I’m-having-more-difficulty-telling-the-difference-between-blues-and-greens
– In-the-last-day,-I-have-had-a-severe-headache-and-pain-around-my-right-eye
12. A-nurse-is-providing-dietary-teaching-to-a-client-who-is-at-risk-for-developing-cancer.
Which-of-the-following-instruction-should-the-nurse-indicate?
– Eat-1-cup-of-fruits-and-vegetables-each-day
– Choose-solid-fats-when-cooking
– Select-lean-meats
– Consume-foods-low-in-fiber
13. A-hospice-nurse-is-visiting-the-caregiver-of-a-client-who-died- (6)-months-ago.-Which-of-
the-following-statements-made-by-the-caregiver-suggests-an-uncomplicated-grief-
response?
– It’s-been-months-and-I-still-cannot-believe-they-are-gone
– I-have-joined-a-grief-support-group-at-my-church
– I-am-taking-time-off-work-for-a-while
– I-started-taking-art-lessons
14. A-nurse-is-planning-care-for-a-client-who-is-8-hr.-postoperative-following-a-coronary-
artery-bypass-grafting.-Which-of-the-following-assessments-should-the-nurse-plan-to-
perform-first?
– Palpate-pulses-distal-to-the-graft-donor-site
– Auscultate-breath-sounds
– Examine-the-surgical-incision-for-drainage
– Measure-the-client’s-core-body-temperature
