NCLEX-RN
Med Surg RN NCLEX Questions Questions
Question 1 of 5
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
Correct Answer: C
Rationale: SSKI has an unpleasant taste and can stain teeth. Diluting it with water, milk, or juice and using a straw minimizes discomfort and staining.
Question 2 of 5
A middle-aged man collapses in the emergency department waiting room. The triage nurse should first:
Correct Answer: A
Rationale: The first step in assessing an unresponsive patient is to check for responsiveness by gently shaking and calling out to the victim, per AHA guidelines, to determine if CPR or other interventions are needed.
Question 3 of 5
A male client underwent a spinal fusion yesterday. Which of the following nursing assessments should alert the nurse to the development of a possible complication?
Correct Answer: B
Rationale: Clear yellowish fluid suggests a cerebrospinal fluid leak, a serious complication requiring immediate attention.
Question 4 of 5
The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.
Correct Answer: C,D
Rationale: Keeping the pouch on for 3-7 days and using a skin barrier are correct practices. Limiting fluids increases infection risk, aspirin is unsafe, and the last option is unclear but likely a typo for emptying when full, which is correct but not listed as such.
Question 5 of 5
The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which of the following symptoms?
Correct Answer: A
Rationale: Heartburn is a hallmark symptom of a sliding hiatal hernia with reflux, caused by stomach acid refluxing into the esophagus.