NCLEX-RN
Medical Surgical NCLEX RN Questions
Question 1 of 5
The nurse is instructing a client with COPD how to do pursed-lip breathing. In which order should the nurse explain the steps to the client?
Order the Items
Source Container
Correct Answer: B,A,C,D
Rationale: The correct order for pursed-lip breathing is: relax muscles (
B), inhale through nose for 2 counts (
A), pucker lips (
C), exhale through pursed lips for 4 counts (
D). This prolongs exhalation, reducing air trapping.
Question 2 of 5
The nurse is caring for a client with a femoral fracture in traction. Which observation indicates a potential complication?
Correct Answer: C
Rationale: A pale, cool foot suggests impaired circulation, a serious complication requiring immediate attention.
Question 3 of 5
The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet?
Correct Answer: A
Rationale: Microcytic hypochromic anemia is often caused by iron deficiency. Eggs are a good source of dietary iron, particularly heme iron, which is well-absorbed by the body. Lettuce and citrus fruits do not provide significant iron, though citrus fruits can enhance iron absorption when consumed with iron-rich foods. Cheese is not a significant source of iron.
Therefore, eggs should be included in the diet.
Question 4 of 5
The client is diagnosed in the emergency department with a detached retina in the right eye. The nurse should do which of the following first?
Correct Answer: D
Rationale: Limiting mobility is the priority to prevent further detachment of the retina by reducing eye movement and strain until surgical intervention can be performed.
Question 5 of 5
A client with colon cancer is having a barium enema. The nurse should instruct the client to take which of the following after the procedure is completed?
Correct Answer: A
Rationale: After a barium enema, a laxative is ordinarily prescribed. This is done to promote elimination of the barium. Retained barium predisposes the client to constipation and fecal impaction. Anticholinergic drugs decrease gastrointestinal motility. Antacids decrease gastric acid secretion. Demulcents soothe mucous membranes of the gastrointestinal tract and are used to treat diarrhea. CN: Reduction of risk potential; CL: Synthesize