NCLEX MED SURG FINAL EXAM
CORRECT QUESTIONS AND ANSWERS
1. A patient is scheduled for a cardiac catheterization this afternoon. Which of the following, if noted in the patient’s chart by the nurse, is a contraindication to the test?
a. The patient is allergic to clams.* (Because it’s shellfish and can react to iodine in surgery)
b. The patient is allergic to eggs.
c. The patient is unable to lie on her right side for more than 15 minutes.
d. The patient has a history of asthma.
2. The nurse on the surgical unit receives a call from the operating room to administer a preoperative medication to a client scheduled for surgery. After giving the ordered medication, the nurse discovers the consent form for the surgery has not been signed. Which of the following actions should the nurse take NEXT?
a. Transfer the client to the operating room.
b. Call the physician.
c. Inform the nursing supervisor. *(best option)
d. Call the operating room and inform them that the surgery must be canceled.
3. Which of the following situations is an example of negligence?
a. The UAP (Unlicensed Assistive Personnel) fills a water basin with warm water while the patient with depression combs her hair.
b. A nurse transcribes a new medication order: Questran powder 2 oz bid with wet food or one full glass of water.
c. The nurse observes a UAP enter the room of a patient on contact precautions wearing gloves and a gown.
d. The nurse checks the distal pulses of a patient’s legs two hours after they have returned from a cardiac catheterization. *(vital signs should be checked within first 15 minutes of surgery and should be checked periodically for the first 2 hours)
The nurse should have checked the patient’s distal pulse immediately after the cardiac catheterization.
4. The home health nurse visits the home of a client diagnosed with moderate-stage Alzheimer’s disease. The patient is pleasantly confused and lives with his son-in-law and daughter. Which of the following observations, if made by the nurse, is MOST concerning?
a. The rugs are secured safely to the floor.
b. The door has a lock with a bolt. *(person w/Alzheimer can still get out. Need a lock w/key)
c. There are extension cords on the floors behind furniture.
d. The stovetops do not turn on without activation of a hidden switch in the nearby drawer.
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