NCLEX-PN MEDICAL SURGICAL NGN

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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? - correct 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? - correct 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? - correct 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? - correct answer- Incontinence of the bowel and bladder

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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? - correct 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? - correct 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? - correct 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? - correct 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.) - correct answer- 0.7 mL 2 / 3

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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? - correct 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? - correct 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? - correct 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?

• correct answer- Increase intake of fiber-rich foods.

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