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Medical-surgical Nursing quiz: nclex | Practice MCQ #mcq.ImBooz

January 29, 2020 by Dr. IM Leave a Comment

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1 >>Upon hearing that he has acute pericarditis, the patient asks how he could have contracted the disease. The best response is: ?

  • (A) The upper respiratory viral infection that you experienced a couple of weeks ago could have led to acute pericarditis.
  • (B) It is a genetic condition that you received from your father.
  • (C) It is a genetic condition that you received from your mother.
  • (D) It is the weakening of the left side of your heart.

2 >>A patient is diagnosed with Bell’s palsy and has signs of unilateral facial paralysis and is unable to close his right eye. What eye care is required? ?

  • (A) The patient will need to instill artificial teardrops and use an eye patch.
  • (B) None, since the symptoms will go away in a few weeks.
  • (C) Increase fluid intake to prevent dryness of the eye.
  • (D) Wear sunglasses.

3 >>When assessing the patient, you notice that there is contraction of his facial muscle after tapping the facial nerve anterior to his ear. This is a sign of: ?

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  • (A) hyponatremia.
  • (B) hypokalemia.
  • (C) hypomagnesemia.
  • (D) hypocalcemia.

4 >>Apatient with a history of asthma is scheduled for an appendectomy. Because of her asthma, you would include as part of the preoperative teaching the need to perform postoperatively: ?

  • (A) coughing and deep breathing exercises.
  • (B) leg exercises.
  • (C) wound dressing changes.
  • (D) all of these.

5 >>You are caring for a patient who has had a transurethral resection of the prostate for benign prostatic hypertrophy. There is continuous bladder irrigation set-up. You would notify the physician if you noted: ?

  • (A) any signs of hematuria.
  • (B) a change from clear red output to thicker, bright red output.
  • (C) a decrease in the amount of blood in the urine.
  • (D) the development of uremic pruritis.

6 >>Mary tells you that she has an undiagnosed case of hypothyroidism. What symptoms would you expect her to present? ?

  • (A) Polydipsia and polyphagia.
  • (B) Fatigue and cold intolerance.
  • (C) Weight loss and hyperglycemia.
  • (D) Tachycardia and diarrhea.

7 >>The patient asks when she should take bisphosphonate medications for treatment of osteoporosis. You tell her: ?

  • (A) on a full stomach.
  • (B) just before getting into bed.
  • (C) first thing in the morning on an empty stomach with a full glass of water, 30 to 60 minutes before eating, and without lying down.
  • (D) with an acidic liquid such as orange juice.

8 >>While you are talking with the patient she becomes confused and begins slurring her words. What would you expect the physician to do? ?

  • (A) Assess if the patient had an ischemic or hemorrhagic CVS.
  • (B) Administer TPA since this is within three hours of the CVA.
  • (C) Tell the patient to go home, get rest, and to call the physician in the morning if the symptoms continue.
  • (D) Admit the patient and place her on bed rest.

9 >>The patient experiences sudden pain in his right calf while sitting at home. He is diagnosed with deep vein thrombosis (DVT). The first intervention is to: ?

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  • (A) apply ice packs to the affected area every 4 to 6 hours.
  • (B) increase dietary intake of foods rich in vitamin K.
  • (C)
  • (D) use intermittent warm soaks of the affected area.

10 >>A 55-year-old smoker who is normally in good health reports having had a bad cough for the past three weeks. He does not have crackles, rhonchi, and discolored, blood-tinged sputum. What would you expect his physician to rule out? ?

  • (A) Asthma.
  • (B) Pneumonia.
  • (C) The flu.
  • (D) Lung cancer.

11 >>An elderly patient with chronic arthritis asks you for suggestions for pain relief. You advise ?

  • (A) increasing caffeine.
  • (B) marijuana.
  • (C) decreasing caffeine.
  • (D) guided imagery.

12 >>A mother is concerned about her teenaged son who is depressed and irritable. His school teachers have called, concerned about his declining grades. You would ask: ?

  • (A) if you can recommend a psychiatrist.
  • (B) if he has a fever.
  • (C) about any family history of substance use disorders.
  • (D) about any allergies.

13 >>On the first postoperative day after a fractured femur, the patient is resting quietly, watching TV. Your nursing interventions would include: ?

  • (A) asking the patient what their pain level is on a scale of 1 to 10.
  • (B) administering an ordered dose of opioid.
  • (C) encouraging ambulation.
  • (D) telling the next shift nurse not to give any pain medication.

14 >>Your postdischarge instructions for a 65-year-old male with peripheral neuropathy from diabetes would include: ?

  • (A) Walk barefoot to increase the stimulation.
  • (B) Wear socks and shoes.
  • (C) Check feet weekly for wounds.
  • (D) Soak feet in hot water daily.

15 >>A two-day postoperative right-below-the-knee amputation patient complains of severe right foot pain. Your appropriate nursing response would be to: ?

  • (A) refer the patient to psychiatry.
  • (B) explain to the patient the pain is not real because the foot is not there.
  • (C) medicate the patient for pain.
  • (D) encourage guided imagery or another diversion technique.

16 >>It would not be unusual for a patient with chronic pain to be taking: ?

  • (A) tricyclic antidepressants.
  • (B) antibiotics.
  • (C) antidiabetic medications.
  • (D) hypertensive medications.

17 >>An elderly patient has a two-year history of back pain from arthritis. You would encourage: ?

  • (A) lifestyle modification and NSAIDs.
  • (B) use of narcotics for pain management.
  • (C) diagnostic tests.
  • (D) vigorous physical therapy.

18 >>Prior to giving a requested pain medication, you would: ?

  • (A) wait longer; the patient did not appear to be uncomfortable.
  • (B) administer after the family left.
  • (C) assess the vital signs.
  • (D) call the doctor.

19 >>The most appropriate assessment of the efficacy of administered pain medication would be: ?

  • (A) The nurses visual assessment.
  • (B) Changes in blood pressure, pulse, and respiratory rate.
  • (C) The nurse’s verbal assessment.
  • (D) The patient’s perception measured on a pain scale.

20 >>You are caring for a patient who borrowed pain medication from a friend at a beauty salon. She seems to be experiencing side effects of the medication. Your most appropriate response would be: ?

  • (A) Stop the medication and call the friend’s practitioner.
  • (B) Continue the medication if pain relief is adequate.
  • (C) Instruct the patient as to the proper use of the medication.
  • (D) Take the medication with milk.

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Filed Under: Competitive Exam Quiz Tagged With: Basic Medical-surgical Nursing objective question, general knowledge quiz, Medical-surgical Nursing Question answers, Medical-surgical Nursing questions MCQs with answers, Medical-surgical Nursing Quiz, Medical-surgical Nursingquiz game, Multiple Choice Questions on Medical-surgical Nursing, NCLEX, NCLEX Medical-surgical Nursing quiz

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