NCLEX-PN MEDICAL SURGICAL NGN QUESTIONS AND ANSWERS 2025
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the
following interventions should the nurse identify as the priority? - (ANSWER)Determine the client's
understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower
extremities. Which of the following interventions should the nurse include? - (ANSWER)Dangle the
extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the
following actions should the nurse include in the plan? - (ANSWER)Use simple verbal cues when
directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? -
(ANSWER)Incontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse
take to decrease the risk for aspiration? - (ANSWER)Pinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes
after beginning the infusion, the client reports intense itching. Which of the following actions should the
nurse take first? - (ANSWER)Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - (ANSWER)"Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test. Which
of the following instructions should the nurse include in the teaching? - (ANSWER)Avoid eating red meat
for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to
the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - (ANSWER)0.7 mL
, NCLEX-PN MEDICAL SURGICAL NGN QUESTIONS AND ANSWERS 2025
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching? - (ANSWER)"This type of insulin should be given at
the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a
surgical wound. Which of the following information should the nurse plan to share with visitors? -
(ANSWER)Visitors must don a gown and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes.
The client is interested in trying hormone replacement therapy (HRT). Which of the following should the
nurse recognize as a contraindication to HRT? - (ANSWER)History of treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
(ANSWER)Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? - (ANSWER)Avoid
stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum. Which of
the following actions should the nurse take? - (ANSWER)Minimize the time the head of the bed is
elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV
infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the
following steps? (Move the steps into the box on the right, placing them in the order of performance.
Use all the steps.) - (ANSWER)Check IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the
following interventions should the nurse identify as the priority? - (ANSWER)Determine the client's
understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower
extremities. Which of the following interventions should the nurse include? - (ANSWER)Dangle the
extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the
following actions should the nurse include in the plan? - (ANSWER)Use simple verbal cues when
directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? -
(ANSWER)Incontinence of the bowel and bladder
A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse
take to decrease the risk for aspiration? - (ANSWER)Pinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes
after beginning the infusion, the client reports intense itching. Which of the following actions should the
nurse take first? - (ANSWER)Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - (ANSWER)"Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test. Which
of the following instructions should the nurse include in the teaching? - (ANSWER)Avoid eating red meat
for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to
the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - (ANSWER)0.7 mL
, NCLEX-PN MEDICAL SURGICAL NGN QUESTIONS AND ANSWERS 2025
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following
information should the nurse include in the teaching? - (ANSWER)"This type of insulin should be given at
the same time every day."
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a
surgical wound. Which of the following information should the nurse plan to share with visitors? -
(ANSWER)Visitors must don a gown and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes.
The client is interested in trying hormone replacement therapy (HRT). Which of the following should the
nurse recognize as a contraindication to HRT? - (ANSWER)History of treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
(ANSWER)Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? - (ANSWER)Avoid
stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum. Which of
the following actions should the nurse take? - (ANSWER)Minimize the time the head of the bed is
elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV
infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the
following steps? (Move the steps into the box on the right, placing them in the order of performance.
Use all the steps.) - (ANSWER)Check IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
