FREE NCLEX Medical Surgical Nursing Questions and Answers

Question 1

After undergoing gall bladder surgery, Hazel returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place. She still laments feeling sick. How would the nurse proceed?

Accepted Answer

Check the patency of the nasogastric tube for any obstruction.

Answer

Change the patient’s position.

Answer

Administer the prescribed antiemetic.

Answer

Call the physician immediately.

Question 2

Among the following remarks made by the client to the nurse may be a CAD risk factor.

Accepted Answer

“I smoke 1 1/2 packs of cigarettes per day.”

Answer

“I exercise every other day.”

Answer

“My father died of Myasthenia Gravis.”

Answer

“My cholesterol is 180.”

Question 3

Because older persons frequently complain of discomfort, the nurse must carefully evaluate this complaint.

Accepted Answer

experience reduced sensory perception

Answer

have a decreased pain threshold

Answer

have altered mental function

Answer

are expected to experience chronic pain

Question 4

Angina pectoris patient is being sent home with nitroglycerin tablets. What advice from the list below does the nurse include in her instruction?

Accepted Answer

“Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.

Answer

“Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”

Answer

“Continue your activity, and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down.”

Answer

“When your chest pain begins, lie down, and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”

Question 5

After falling from a two-story structure, a 56-year-old construction worker was found unconscious and sent to the hospital. The nurse would be particularly concerned if the assessment results showed:

Accepted Answer

Bleeding from ears

Answer

Reactive pupils

Answer

A depressed fontanel

Answer

An elevated temperature

Question 6

A patient's husband queries the nurse about the low-protein diet prescribed due to severe liver disease. Which of the nurse's statements better explains the goal of the diet?

Accepted Answer

“The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system.”

Answer

“The liver heals better with a high carbohydrates diet rather than protein.”

Answer

“Because of portal hyperemesis, the blood flows around the liver and ammonia made from protein collects in the brain causing hallucinations.”

Answer

“Most people have too much protein in their diets. The amount of this diet is better for liver healing.”

Question 7

The patient had a Billroth procedure for a stomach ulcer. After surgery, the client's NGT drainage is thick, the volume of secretions has significantly decreased during the last two hours, and he feels like throwing up. The best nursing course of action is to:

Accepted Answer

Notify the MD of your findings

Answer

Discontinue the low-intermittent suction

Answer

Irrigate the NGT with 50 cc of sterile

Answer

Reposition the NGT by advancing it gently NSS

After undergoing gall bladder surgery, Hazel returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place.She still laments feeling sick.How would the nurse proceed?

After undergoing gall bladder surgery, Hazel returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place.
She still laments feeling sick.
How would the nurse proceed?