NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Question 1 of 5
A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply.
Correct Answer: A,B
Rationale: Preventing constipation (
A) and administering lactulose (
B) reduce ammonia levels, key in managing hepatic encephalopathy. Coordination (
C) and pupil reaction (
D) are unrelated. High carbohydrates (E) and physical activity (F) are not primary goals.
Question 2 of 5
The nurse notes a client's preoperative hemoglobin is 9.8 g/dL. What is the priority nursing action?
Correct Answer: B
Rationale: A hemoglobin of 9.8 g/dL indicates anemia, which increases surgical risks. Notifying the surgeon ensures evaluation and possible intervention before proceeding.
Question 3 of 5
A client post-lithotripsy asks about expected symptoms. The nurse should explain:
Correct Answer: A
Rationale: Bruising is common post-lithotripsy due to shock wave impact on tissues.
Question 4 of 5
A nurse is assessing a client with heart failure. The nurse should assess the client based on which compensatory mechanisms that are activated in the presence of heart failure? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Heart failure activates the sympathetic nervous system (
A), renin-angiotensin-aldosterone system (
B), myocardial hypertrophy (
C), natriuretic peptide release (
D), and ventricular dilation (E) to compensate for reduced cardiac output.
Question 5 of 5
Which lab result indicates worsening acute renal failure?
Correct Answer: A
Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.