Med Surg Test #1 Nclex Questions

Front 1

Nursing process?

Back 1

problem solving tool to assess patients

Front 2

Nursing activity during assessment phase?

Back 2

determining if effectiveness of interventions was successful

Front 3

Complete diagnosis statement?

Back 3

a problems with its etiology and S/S

Front 4

Info the nurse needs to collect assessing the health status of a community

Back 4

life expectancy of individuals

Front 5

82 year old Asian… lives in the U.S. for 50 years. speaks English, lives in Asian neighborhood… ask about?

Back 5

ask about special culture beliefs and practice

Front 6

Planning health care for a community with lots of asian immigrants…most important intervention?

Back 6

T.B. screening

Front 7

When performing a culture assessment, first action is to?

Back 7

ask the patient about any affiliations with a culture group

Front 8

Pt diff breathing, admitted, best approach for a nurse to use?

Back 8

Several short sessions with patient for discovery

Front 9

The nurse reports a general survey… 68 year old male asian, wife and two daughters… no eye contact with the nurse. No apparent disabilities, include what findings?

Back 9

Nutritional status

Front 10

Health hx and physical for right sided rib fractures… pertinent negative finding?

Back 10

denies pain upon palpation over the site

Front 11

Preparing for a focused abdominal assessment for high pitched bowel sounds?

Back 11

stethoscope

Front 12

Planning for a physical exam of an alert 80 year old patient exam should include?

Back 12

organize the assessment to avoid position changes

Front 13

Assessing the circulation to the lower leg with recent knee surgery…action taken first?

Back 13

visualize the color of the foot first

Front 14

43 year old type II diabetes after admitted to hospital with foot wound… adult learning strategy should be used by the nurse?

Back 14

teach correct method for cleaning and dressing the wound

Front 15

Nursing diagnosis of inadequate health issues with a diabetic pt?

Back 15

Pt says dietary intake does not seem to impact his energy level or overall health

Front 16

Pt teaching plan includes this goal… 2gm sodium restrict diet…how do we evaluate if the patient understands the plan?

Back 16

Check sodium content in the patient's menu over the last three days. "have to evaluate how he follows the diet and responded to your teaching, you can't watch him all day."

Front 17

22 yr old pt smokes a pack a day, pt sts i enjoy smoking and I'm not quitting… how do we fix?

Back 17

ineffective health care maintenance related to health care maintenance

Front 18

Pt has type II with severe hyperglycemia what is best way to teach when pt leaves hospital?

Back 18

symptoms indicating pt should contact the health care provider

Front 19

AA0*4 85 yr old multiple meds cardiac and resp/// no caregiver around enough... what diagnosis is most important?

Back 19

drug drug interaction injury

Front 20

developing a plan of care with an older adult with an acute illness, nurse should?

Back 20

consider pre admission functionality before

Front 21

78 yr old pt, multiple health problems, increasingly weak, 11 pound weight loss…nurse should initially?

Back 21

ask about dietary intake

Front 22

planning discharge for an alert 70 year old foot infection, most important for nurse to?

Back 22

refer to social services for better treatment of foot

Front 23

which of these pts assigned to the nurse will need planning for long term nursing management?

Back 23

56 year old with bilateral knee surgeries and weighs 400 lbs

Front 24

Pt in an MVC, nurse is a case manger… nurse's responsibilities in this role are to?

Back 24

coordinate the services the pt receives in the hospital and at home

Front 25

Which pts being discharged from the acute care nurse will get Medicare benefits for at home care?

Back 25

65 year old with spinal cord injury who needs help eating

Front 26

After the charge nurse is done orientating what action by a new nurse shows she needs remediation?

Back 26

new nurse massages an active ulcer wound leg

Front 27

Pt with fibromyalgia had back pain and stiffness… nurse suggests what tx?

Back 27

acupuncture

Front 28

Which therapies should nurse suggest for elevated triyclicerides level?

Back 28

fish oil

Front 29

Pt who has nausea with chemo, what alternative measures can a nurse suggest?

Back 29

acupuncture

Front 30

Frequent URI's nurse can suggest what alternative med?

Back 30

echincea

Front 31

Pt has a chronic infection and doesn't want to use antibiotics? Nurse should?

Back 31

Nurse should explain how they interact

Front 32

Multiple abrasions after an MVC, 180/98… nurse should?

Back 32

recheck BP before patient is discharged

Front 33

Overweight pt, enjoys active life, knees start to get arthritic… nurse should tell him after the bad news?

Back 33

encourage pt to see how weight loss will improve his knees

Front 34

Diabetic pt hospitalized tells the nurse he can control his BGl at home alone, when he gets sick it goes up…. nurse should explain this is because?

Back 34

stressors release hormones and increase BGL

Front 35

Nurse takes health hx for four patients… which info regarding then patient's sleep is most important to take?

Back 35

42 BMI with snoring at night

Front 36

Pt received a new c pap a week ago… severe day time sleepiness still apparent… nurse should?

Back 36

Are you using the C pap every night?

Front 37

A patient who uses a patch for chronic cancer pain…. rapid onset of pain 9/10…. I want something quicker…. Pain is what?

Back 37

break thru pain

Front 38

A pt with chronic cancer pain is receiving morphine and tofranil….. Best indicator that the tofranil is effective?

Back 38

Pain is manageable and I can accomplish goals during the day

Front 39

Pt receives MS cotton every 12 hours, pt experiences a break thru 9/10… Nurse should administer?

Back 39

Imm release morphine 30mg orally

Front 40

Pt second degree burns,,,, getting morphine thru a pump for a week, pt complains of pain at night frequently….. Nurse should?

Back 40

separate tx for the pain

Front 41

Pt receiving epidural morphine.. pt may be having a side effect. It is?

Back 41

Pt hasn't voided for 10 hours

Front 42

Which therapy should the nurse use first with cancer pain 8/10 and deep and aching?

Back 42

Dilaudid

Front 43

Diabetic pt chronic burning leg pain even when taking oxycodone…. what med is the best adjunct to decrease the pt's pain?

Back 43

elavil

Front 44

Meds are prescribed by HCP for patients using MS cotton but still has on going pain… nurse should question which med?

Back 44

Talwan

Front 45

post op pat morphine from a pump…. report to HCP what finding?

Back 45

10 breaths per minute

Front 46

Pt using patch and imm release morphine… new onset of dizziness and AMS, nurse should?

Back 46

remove the patch

Front 47

Meds are ordered… 86 year old osteoarthritis in his hip. what med should be used first?

Back 47

Tylenol orally

Front 48

Select all that apply? Nurse should take actions to watch acute stressors on a patient?

Back 48

elevated bgl, epigastric pain, pt wants to eat more

Front 49

Pt uses multiple herbal products… knee replacement surgery. nurse informs pt herbs that should be discontinued 2-3 weeks prior? Select all that apply?

Back 49

garlic, ginger, ginko, feverview

Front 50

HCP plans to titrate a pt controlled analgesic pain pump for post op? Nusre should? Select all that apply?

Back 50

improvement of post op activities and therapeutic range/adverse effects