EXAM 3 MED SURG NCLEX QUESTIONS, PAMELA DALLAS 2

Running head: EXAM 3 MED SURG NCLEX QUESTIONS, PAMELA DALLAS 1 Exam 3 Med Surg Nclex Questions Pamela Dallas Nu 424 Mrs.Mayeux Louisiana College April 27, 2014

EXAM 3 MED SURG NCLEX QUESTIONS, PAMELA DALLAS 2

1.A patient presents to the emergency room after a motor vehicle accident with a chief complaint of right upper quadrant pain and is guarding his abdomen. The nurse questions the patient about the impact of the accident. The patient states his chest hit the steering wheel. What should the nurse assess the patient for?a.Hypotension b.Hypertension c.Liver cancer d.Liver trauma i.The correct choice is (d) liver trauma, the symptoms are key features of liver trauma. (a) Although this is a key feature of liver trauma which indicate hypovolemic shock, the nurse has to first assess the patient for trauma to any organs. (B) and (c) are not key features of liver trauma (Ignatavicius & Workman, 2010).

2.A 50 year old patient with liver cancer had a hepatic artery embolization what should the nurse monitor for in the post-op period?a.Bleeding b.Elevated blood pressure c.Seizures d.DTR’s i.The correct choice is (a) bleeding. After the procedure is done, patients stay overnight in the hospital for observation in case of bleeding.(Ignatavicius & Workman, 2010). Neither (b), (c), (d) occur after this procedure.

EXAM 3 MED SURG NCLEX QUESTIONS, PAMELA DALLAS 3

3.A 60 year old patient who had a liver transplant was prescribed cyclosporine (immunosuppressant drug). What is the most important intervention the nurse should teach the patient while on this drug?a.Stop taking the medicine when a persistent cough exists.b.Stop taking the medicine when a rash occurs.c.The medicine should be taken every day without skipping a dose.d.The medicine should be taken every day, but it is okay to skip a dose.i.The nurse should teach the patient to take their medicine every day without skipping a dose since this drug is used to prevent organ rejection

• ( Ignatavicius & Workman, 2010) . (A), (b), (d) are not correct.

4.The charge nurse who works on a medical unit is determining assignments for the nursing staff. Which nurse should take care of patient who was recently diagnosed with gallbladder cancer?a.A RN who was sent from the pediatric unit for the day.b.A RN who was sent from the ICU for the day.c.A RN who has been working on the medical unit for 5 years.d.A LPN who has been working on the medical unit for 5 years.i.The charge nurse should assign the RN who has been working on the medical unit for 5 years (c). The reason being is that the RN has the skills needed to take care of the patient. (d) The LPN who has been working on the medical unit for 5 years is not correct because teaching might be required since the patient was recently diagnosed with gallbladder cancer.

EXAM 3 MED SURG NCLEX QUESTIONS, PAMELA DALLAS 4

(a) And (b) are not correct because the nurses were pulled from another unit for the day.

5.After receiving shift report the nurse determines which patient to see first?a.A patient who reports his skin is yellow, urine is dark, and stool is light colored b.A patient who reports nausea and vomiting c.A patient who reports the IV came out d.A patient who is requesting pain medication i.The correct choice is (A) a patient who reports his skin is yellow, urine is dark, and stool is light colored, this is indication that the patient has jaundice, which can also mean the patient may have pancreatic cancer.The nurse should see this patient first for further assessment (Ignatavicius & Workman, 2010) . (b) is not correct because nausea and vomiting is common. (c) is not correct because the patient IV came out, the nurse can just restart another one. ( d) is not correct because the patient can wait until the nurse see the most critical patient first.

6.A patient states that the physician stated after reviewing her laboratory test he told her she has an insulinoma. The patient ask the nurse what is this? The nurse should tell the patient that this is…… a.Blood glucose test b.Benign tumor c.Metastatic tumor d.Ovarian tumor