NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Question 1 of 5
A client who had a gastrectomy has been in the postanesthesia recovery room for 30 minutes when his vital signs suddenly change. In addition to notifying the physician, what other action should the nurse take immediately?
Correct Answer: A
Rationale: Sudden vital sign changes post-gastrectomy suggest hypoxia or shock. Administering oxygen addresses potential respiratory compromise, a common postoperative issue, while awaiting physician guidance.
Question 2 of 5
The primary reason for infusing blood at a rate of 60 mL/hour is to help prevent which of the following complications?
Correct Answer: B
Rationale: A slow infusion rate (60 mL/hour) prevents fluid volume overload, especially in clients at risk post-trauma. Emboli, hemolysis, and allergic reactions are less directly related to infusion rate.
Question 3 of 5
A client with peripheral vascular disease has bypass surgery. The primary goal of the plan of care after surgery is to:
Correct Answer: A
Rationale: The primary goal post-bypass surgery for PVD is to maintain circulation, ensuring graft patency and adequate blood flow to the extremity to prevent ischemia or graft failure. Infection prevention, pain relief, and education are important but secondary to circulation.
Question 4 of 5
Which fluid is best for a client with renal calculi?
Correct Answer: C
Rationale: Water increases urine volume, reducing stone formation risk.
Question 5 of 5
At what time of day should the nurse encourage a client with Parkinson's disease to schedule the most demanding physical activities to minimize the effects of hypokinesia?
Correct Answer: B
Rationale: Scheduling activities during peak drug action (e.g., levodopa) maximizes mobility and reduces hypokinesia. Morning energy, rest periods, or family availability are less directly tied to symptom control.