NCLEX Practice Questions and Answers for Medical-Surgical Nursing: Week 1, Exams of Nursing

Download NCLEX Practice Questions and Answers for Medical-Surgical Nursing: Week 1 and more Exams Nursing in PDF only on Docsity! Med Surge Week 1 NCLEX Practice Questions withy Answers Latest Update 2024 100% Success Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause: A. Nasal congestion B. Nervousness C. Lethargy D. Hyperkalemia - Correct answer B. nervousness Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In an acute rhinitis, nasal drainage normally is: A. Yellow B. Green C. Clear D. Gray - Correct answer C. Clear A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis? A. nausea or vomiting B. abdominal pain or diarrhea C. hallucinations or tinnitus D. lightheadedness or parenthesis - Correct answer D. lightheadedness or parenthesis Before administering ephedrine, Nurse Tony assesses the patient's history. Because of ephedrine's central nervous system (CNS) effects, it is not recommended for: A. patients with an acute asthma attack B. patients with narcolepsy C. patients under age 6 D. elderly patients - Correct answer D. elderly patients A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient's condition deteriorates rapidly and endotracheal intubation and mechanical ventilation are initiated. When the high pressure alarm on the mechanical ventilator alarm sounds, the nurse starts to check for the cause. Which condition triggers the high pressure alarm? A. Kinking of the ventilator tubing B. A disconnected ventilator tube C. An endotracheal cuff leak D. A change in the oxygen concentration without resetting the oxygen level alarm - Correct answer A. Kinking of the ventilator tubing A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavilion), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose? A. Leg movement B. Finger movement C. Lip movement D. Fighting the ventilator - Correct answer D. fighting the ventilator On auscultation, which finding suggests a right pneumothorax? A. Bilateral inspiratory and expiratory crackles B. Absence of breath sounds in the right thorax C. Inspiratory wheezes in the right thorax D. Bilateral pleural friction rubs - Correct answer B. Absence of breath sounds in the right thorax Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase "a" in ABG value present? A. Acid-base balance B. Arterial Blood C. Arterial oxygen saturation D. Alveoli - Correct answer B. Arterial Blood A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient? A. Activity intolerance related to fatigue B. Anxiety related to actual threat to health status C. Risk for infection related to retained secretions D. Impaired gas exchange related to airflow obstruction - Correct answer D. impaired gas exchange related to airflow obstruction A nurse is assisting a physician with the removal of a chest tube. The nurse should instruct the client to: A. exhale slowly B. stays very still C. inhale and exhale quickly D. perform the Valhalla maneuver - Correct answer D. perform the Valhalla maneuver While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to: A. Call the physician to reinsert the tube. B. Grasp the retention sutures to spread the opening. C. Call the respiratory therapy department to reinsert the tracheotomy. D. Cover the tracheostomy site with a sterile dressing to prevent infection. - Correct answer B. Grasp the retention sutures to spread the opening Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client? A. Stridor B. Occasional pink-tinged sputum C. A few basilar lung crackles on the right D. Respiratory rate 24 breaths/min - Correct answer A. stridor An emergency room nurse is assessing a female client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client? A. A low respiratory B. Diminished breathe sounds C. The presence of a barrel chest D. A sucking sound at the site of injury - Correct answer B. Diminished breathe sounds Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client? A. Hypomania B. A hyper inflated chest noted on the chest x-ray C. Increased oxygen saturation with exercise D. A widened diaphragm noted on the chest x-ray - Correct answer B. A hyper inflated chest noted on the chest x-ray An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? A. Face tent B. Ventura mask C. Aerosol mask D. Tracheostomy collar - Correct answer B. Ventura mask Bless, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is: A. Dyspnea B. Chest pain C. A bloody, productive cough D. A coughs with the expectoration of fucoid sputum - Correct answer D. A cough with the expectoration of fucoid sputum A nurse performs an admission assessment on a female client with a diagnosis of tuberculosis. The nurse reviews the result of which diagnosis test that will confirm this diagnosis? A. Bronchoscopy B. Sputum culture C. Chest X-Ray D. Tuberculin Skin Test - Correct answer B. Sputum culture A nurse is caring for a male client with emphysema who is receiving oxygen. The nurse assesses the oxygen flow rate to ensure that it does not exceed: A. 1 L/min B. 2 L/min C. 6 L/min D. 10 L/min - Correct answer B. 2 L/min A nurse instructs a female client to use the pursed-lip method of breathing and the client asks the nurse about the purpose of this type of breathing. The nurse responds, knowing that the primary purpose of pursed-lip breathing is to: A. Promote oxygen intake. B. Strengthen the diaphragm. C. Strengthen the intercostal muscles. D. Promote carbon dioxide elimination. - Correct answer D. Promote carbon dioxide elimination. A nurse is caring for a male client with acute respiratory distress syndrome. Which of the following would the nurse expect to note in the client? A. pallor B. low arterial PaO2 C. elevated arterial PaO2 D. decreased respiratory rate - Correct answer B. low arterial PaO2