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MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS AND ANSWERS 2025 LATEST VERSION GRADED A+.pdf, Exams of Nursing

MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS AND ANSWERS 2025 LATEST VERSION GRADED A+.pdf

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2024/2025

Available from 07/17/2025

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MED SURG WEEK 1 NCLEX PRACTICE QUESTIONS
AND ANSWERS LATEST 2025 VERSION GRADED A+
While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The
initial nursing action is to:
When caring for a male patient who has just had a total laryngectomy, the nurse should plan to:
Rhea, confused and short breath, is brought to the emergency department by a family member. The
medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory
problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG
report, the nurses sees many abbreviations. What does a lowercase "a" in ABG value present?
On auscultation, which finding suggests a right pneumothorax?
Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate
toward the:
Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube
accidentally disconnects. The initial nursing action is to:
Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary
disease. Which of the following would the nurse expect to note on assessment of this client?
Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports
which of the following signs immediately if experienced by the client?
Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client
and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this
assessment, which action would be appropriate?
Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes
continues gentle bubbling in the suction control chamber. What action is appropriate?
Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage.
The nurse asks the patient about the color of the drainage. In a acute rhinitis, nasal drainage normally is:
For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action best
promotes adequate gas exchange?
For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help
maintain a patent airway?
Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When
teaching the patient about this drug, the nurse should explain that it may cause:
D. Tuberculin Skin Test - ansB. Sputum culture
D. Tracheostomy collar - ansB. Venturi mask
D. Respiratory rate 24 breaths/min - ansA. stridor
D. Renal failure - ansC. Increased pulmonary capillary permeability
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AND ANSWERS LATEST 2025 VERSION GRADED A+

While changing the tapes on a tracheostomy tube, the male client coughs and the tube is dislodged. The initial nursing action is to: When caring for a male patient who has just had a total laryngectomy, the nurse should plan to: Rhea, confused and short breath, is brought to the emergency department by a family member. The medical history reveals chronic bronchitis and hypertension. To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis. When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase "a" in ABG value present? On auscultation, which finding suggests a right pneumothorax? Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the: Nurse Reynolds caring for a client with a chest tube turns the client to the side, and the chest tube accidentally disconnects. The initial nursing action is to: Nurse Reese is caring for a client hospitalized with acute exacerbation of chronic obstructive pulmonary disease. Which of the following would the nurse expect to note on assessment of this client? Nurse Oliver is caring for a client immediately after removal of the endotracheal tube. The nurse reports which of the following signs immediately if experienced by the client? Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate? Nurse Lei caring for a client with a pneumothorax and who has had a chest tube inserted notes continues gentle bubbling in the suction control chamber. What action is appropriate? Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage. The nurse asks the patient about the color of the drainage. In a acute rhinitis, nasal drainage normally is: For a patient with advance chronic obstructive pulmonary disease (COPD), which nursing action best promotes adequate gas exchange? For a female patient with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? Dr. Jones prescribes albuterol sulfate (Proventil) for a patient with newly diagnose asthma. When teaching the patient about this drug, the nurse should explain that it may cause: D. Tuberculin Skin Test - ansB. Sputum culture D. Tracheostomy collar - ansB. Venturi mask D. Respiratory rate 24 breaths/min - ansA. stridor D. Renal failure - ansC. Increased pulmonary capillary permeability

AND ANSWERS LATEST 2025 VERSION GRADED A+

D. Promote carbon dioxide elimination. - ansD. Promote carbon dioxide elimination. D. preparing to start an IV line - ansB. applying a dressing over the wound and taping it on three sides D. Place a sterile dressing over the disconnection site - ansB. Place the tube in bottle of sterile water D. perform the Valsalva maneuver - ansD. perform the Valsalva maneuver D. milk the chest tube every 2 hours. - ansC. encourage coughing and deep breathing D. lightheadedness or paresthesia - ansD. lightheadedness or paresthesia D. keep the patient flat in bed - ansB. develop an alternative communication method D. Increase the suction pressure so that the bubbling becomes vigorous - ansA. Do nothing, because this is an expected finding D. Impaired gas exchange related to airflow obstruction - ansD. Impaired gas exchange related to airflow obstruction D. Hyperkalemia - ansB. nervousness D. Gray - ansC. Clear D. Fighting the ventilator - ansD. Fighting the ventilator D. Encourage the client to deep-breathe - ansB. Continue to monitor the client D. elderly patients - ansD. elderly patients D. decreased respiratory rate - ansB. low arterial PaO D. Cover the tracheostomy site with a sterile dressing to prevent infection. - ansB. Grasp the retention sutures to spread the opening D. Contralateral side in hemothorax - ansD. Contralateral side in hemothorax D. Bilateral pleural friction rub - ansB. Absence of breath sounds in the right thorax D. Alveoli - ansB. Arterial Blood D. Administering prescribe sedatives regularly and in large amounts - ansC. Teaching the patient how to perform controlled coughing D. administer a sedative, as prescribed - ansC. using a high flow venture mask to deliver oxygen as prescribed D. A widened diaphragm noted on the chest x-ray - ansB. A hyperinflated chest noted on the chest x-ray D. A sucking sound at the site of injury - ansB. Diminished breathe sounds D. A cough with the expectoration of mucoid sputum - ansD. A cough with the expectoration of mucoid sputum

AND ANSWERS LATEST 2025 VERSION GRADED A+

C. Affected side in a tension pneumothorax C. Aerosol mask C. A few basilar lung crackles on the right C. A bloody, productive cough C. 6 L/min Blessy, a community health nurse is conducting an educational session with community members regarding tuberculosis. The nurse tells the group that one of the first symptoms associated with tuberculosis is: Before administering ephedrine, Nurse Tony assesses the patient's history. Because of ephedrine's central nervous system (CNS) effects, it is not recommended for: B. Venturi mask B. Strengthen the diaphragm. B. stay very still B. Sputum culture B. Respiratory alkalosis B. Place the tube in bottle of sterile water B. patients with narcolepsy B. Occasional pink-tinged sputum B. Nervousness B. low arterial PaO B. keeping the patient in semi-fowler's position B. Immediately clamp the chest tube and notify the physician B. Green B. Grasp the retention sutures to spread the opening. B. Finger movement B. Enforcing absolute bed rest B. Diminished breathe sounds B. develop an alternative communication method B. Continue to monitor the client

AND ANSWERS LATEST 2025 VERSION GRADED A+

B. clamp the chest tube once every shift. B. Chest pain B. Arterial Blood B. applying a dressing over the wound and taping it on three sides B. Anxiety related to actual threat to health status B. Affected side in a hemothorax B. Absence of breath sounds in the right thorax B. abdominal pain or diarrhea B. A hyperinflated chest noted on the chest x-ray B. A disconnected ventilator tube B. 2 L/min An oxygen delivery system is prescribed for a male client with chronic obstructive pulmonary disease to deliver a precise oxygen concentration. Which of the following types of oxygen delivery systems would the nurse anticipate to be prescribed? An emergency room nurse is assessing a female client who has sustained a blunt injury to the chest wall. Which of these signs would indicate the presence of a pneumothorax in this client? After undergoing a left thoracotomy, a client has a chest tube in place. When caring for this client, the nurse must: A. Yellow A. Stridor A. Restricting fluid intake to 1,000 ml per day A. report fluctuations in the water-seal chamber. A. Promote oxygen intake. A. patients with an acute asthma attack A. pallor A. nausea or vomiting A. Nasal congestion A. Leg movement A. Kinking of the ventilator tubing

AND ANSWERS LATEST 2025 VERSION GRADED A+

A male patient's X-ray result reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from: A male patient is admitted to the health care facility for treatment of chronic obstructive pulmonary disease. Which nursing diagnosis is most important for this patient? A male patient has a sucking stab wound to the chest. Which action should the nurse take first? A male adult patient on mechanical ventilation is receiving pancuronium bromide (Pavulon), 0.01 mg/kg I.V. as needed. Which assessment finding indicates that the patient needs another pancuronium dose? A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis. Which clinical findings commonly accompany respiratory alkalosis? A female patient suffers adult respiratory distress syndrome as a consequence of shock. The patient's condition deteriorates rapidly and endotracheal intubation and mechanical ventilation are initiated. When the high pressure alarm on the mechanical ventilator alarm sounds, the nurse starts to check for the cause. Which condition triggers the high pressure alarm?

AND ANSWERS LATEST 2025 VERSION GRADED A+