Med Surg Nclex Comprehensive Exam Preparation Questions 2023

Med Surg Nclex Comprehensive Exam Preparation Questions 2023 1.The practical nurse (PN) received report on their assignment of clients. In which order should the PN assess these clients?Arrange the sequence options in the correct order by assigning each option a number.

• The client who has chronic renal disease is scheduled for hemodialysis today

and three times weekly.

• The client who has had GI bleeding but had a negative guaiac test for the last

three stools.

• The client who is recovering from a left total knee replacement and who

ambulates with a walker.

• The client with aphasia and right hemiplegia who is scheduled for gastrostomy

tube (GT) placement today

• The client with aphasia and right hemiplegia who is scheduled for gastrostomy tube (GT)

placement today.

• The client who has chronic renal disease is scheduled for hemodialysis today and three times

weekly.

• The client who has had GI bleeding but had a negative guaiac test for the last three stools.
• The client who is recovering from a left total knee replacement and who ambulates with a

walker.

• The nurse has been caring for a client on the medical unit who has a large abscess on his

upper arm. The client develops septic shock and the rapid response team has arrived.Which priority action should the nurse do to assist the client while the rapid response team is preparing to transfer the client to intensive care?

• Monitor the client’s vital signs every 15 minutes.
• Restrict intravenous fluid flow rate to less than 50 mL/hr.
• Locate the temporary pacemaker unit and bring it to the bedside.
• Assist the team in preparing vasodilating medications to add to the intravenous fluids.

• A client who has had an AV (arteriovenous) fistula placement in the right forearm is

transferred from the Post-anesthesia care unit (PACU) to the nursing unit. Which nursing measure is essential in promoting safe, effective care for the client?

• Avoid blood pressures or needlesticks in right arm.
• Place pressure dressing over AV insertion site.
• Do not elevate the right arm.
• Keep right arm immobilized in a splint.
• A client diagnosed with lymphoma is receiving chemotherapy. The client’s hemoglobin is

currently 6 g/dL. The practical nurse (PN) assigns an unlicensed assistive personnel (UAP) to provide personal hygiene for this client. What instruction should the PN provide to the UAP?

• Report any signs of nausea or vomiting immediately. 1 / 3

• The client will be weak and unsteady and tire easily.
• Watch carefully for any signs of bleeding.
• The client’s skin will be fragile and bruise easily.
• A client diagnosed with a brain tumor is receiving radiation beam treatments to the right

frontal area. The practical nurse (PN) should observe this client for which problem during the early post-therapy days?

• Hemiplegia
• Headache
• Hearing loss
• Dysphagia
• The practical nurse (PN) is reviewing high-risk factors for type 2 diabetes with a client?

The nurse realizes this discussion has been effective if the client selects which characteristics are risk factors for the development of diabetes? (Select all that apply.)

• Age 40 years or older
• Female gender
• African American
• Obesity
• Hispanic
• Asthma
• Age 40 years or older
• African American
• Obesity
• Hispanic
• A client diagnosed with hypertension is prescribed a low-sodium diet. Which food choices

selected from the hospital’s menu demonstrates to the PN that the client understands their dietary restrictions?

• Tossed salad, low-sodium dressing, bacon and tomato sandwich
• New England clam chowder, no-salt crackers, fresh fruit salad
• Skim milk, turkey salad, roll, vanilla ice cream c. Skim milk, turkey salad, roll, vanilla ice

cream 2 / 3

• Macaroni and cheese, diet Coke, slice of cherry pie
• A client underwent a colon resection 48 hours ago. Which finding requires the most immediate

intervention by the practical nurse (PN)?

• Fever of 102° F (38.9° C) and chills
• BP of 156/94 mm Hg and tachycardia
• Increase flatulence and diarrhea
• Dry mucous membranes and poor skin turgor
• Which abnormal laboratory finding should the practical nurse (PN) identify that indicates that

a client with diabetes needs further evaluation for diabetic nephropathy?

• Hypokalemia
• Microalbuminuria > Microalbuminuria is the earliest sign of diabetic nephropathy and

indicates the need for follow-up evaluation.

• Elevated serum lipids
• Ketonuria
• A 70-year-old client status post hip replacement is transferred to a rehabilitation facility.

Which scale should the practical nurse (PN) identify as the best tool to predict the client’s risk for developing skin breakdown?

• Braden Scale
• Morse Scale
• Aldrete Scale
• Wong-Baker Face Scale
• An older adult client diagnosed with dementia was admitted from a long-term facility to the

hospital 2 days ago. The client’s children express concern that their parent’s confusion has gotten worse since being admitted. How should the practical nurse (PN) respond?

• “It is to be expected that older adult people will experience progressive confusion.”
• “Confusion in an older person is expected with a relocation to new surroundings.”
• “The dementia is progressing rapidly, but we will do everything we can to keep your parent

safe.”

• “The acute care staff is not as experienced as the long-term care staff at dealing with

dementia.”

• / 3