NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Question 1 of 5
A client with acute chest pain is receiving I.V. morphine sulfate. Which of the following results are intended effects of morphine in this client? Select all that apply.
Correct Answer: A,D,E
Rationale: Morphine reduces pain, which lowers myocardial oxygen demand (
A), decreases blood pressure and heart rate through vasodilation and reduced sympathetic response (
D), and alleviates anxiety and fear (E). It does not prevent ventricular remodeling or directly reduce respiratory rate in this context.
Question 2 of 5
Which of the following is an expected outcome for a client on the second day of hospitalization after a myocardial infarction (MI)? The client:
Correct Answer: D
Rationale: By the second day post-MI, the client should be able to perform self-care activities without pain, indicating stabilization. Severe pain is not expected, and risk factor identification or rehabilitation planning may occur later.
Question 3 of 5
An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of:
Correct Answer: A
Rationale: Aging leads to left ventricular atrophy, reducing cardiac reserve and impairing the heart's ability to respond to stress, unlike irregular heartbeats or pacemakers.
Question 4 of 5
The nurse should teach the client that signs of digoxin toxicity include which of the following?
Correct Answer: C
Rationale: Visual disturbances, like seeing yellow spots (xanthopsia), are a hallmark of digoxin toxicity, requiring prompt reporting.
Question 5 of 5
A client has mitral stenosis and is a prospective valve recipient. The nurse is instructing the client about health maintenance prior to surgery. Inability to follow which of the following regimens would pose the greatest health hazard to this client at this time?
Correct Answer: A
Rationale: Medication therapy (e.g., anticoagulants, diuretics) is critical to manage symptoms and prevent complications like thromboembolism in mitral stenosis.