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

One of the most frequent side effects of general anesthesia is nausea. However, stomach distention may exacerbate this problem, particularly in a patient who has had abdominal surgery. The NGT insertion aids in solving the issue. The nurse can identify the root of the issue and implement the required intervention by checking the NGT's patency for any impediment.

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

One of the main modifiable risk factors for coronary artery disease has been identified as smoking. It can be prevented with exercise and by keeping serum cholesterol levels within normal ranges.

Question 3

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

Accepted Answer

experience reduced sensory perception

Answer

In the old, degenerative changes take place. The aged may respond to pain less strongly due to decreased touch acuity, changes in brain circuits, and slowed sensory input processing.

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

Myocardial ischemia associated with a diminished coronary blood flow is the primary cause of angina pectoris. Nitroglycerin administration results in coronary vasodilation, which enhances coronary blood flow, in 3–5 minutes. After three pills, if the chest pain has not subsided, an abrupt coronary blockage may be the cause, which necessitates rapid medical intervention.

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

A comprehensive assessment must be made by the nurse since it may reveal changes in cerebral function, elevated intracranial pressures, fractures, and bleeding. Only basal skull fractures, which frequently result in elevated intracranial pressure and brain herniation, cause bleeding from the ears.

NCLEX Practice Test

NCLEX Practice Test

FREE NCLEX Medical Surgical Nursing Questions and Answers