NCLEX-RN
Medical Surgical NCLEX RN Questions
Question 1 of 5
Which of the following findings would suggest pneumothorax in a trauma victim?
Correct Answer: D
Rationale: Absent breath sounds on the affected side suggest pneumothorax due to air in the pleural space. Crackles, wheezing, and dullness are more indicative of other conditions.
Question 2 of 5
The client asks the nurse what his activity limitations are while he is in Buck's traction. The nurse should tell the client:
Correct Answer: B
Rationale: Buck's traction requires lying flat to maintain traction alignment, limiting movement.
Question 3 of 5
The nurse has an order to administer 2 oz of lactulose (Cephulac) to a client who has cirrhosis. How many milliliters of lactulose should the nurse administer?
Correct Answer: 60 mL
Rationale: 2 oz equals 60 mL (1 oz = 30 mL), so the nurse should administer 60 mL of lactulose (
A).
Question 4 of 5
The nurse conducts a review course on older adults and medication elimination/excretion. It would be appropriate for the nurse to note which factor may impact drug elimination? Select all that apply.
Correct Answer: A,B,F
Rationale: Diminished glomerular filtration, decreased hepatic function, and low-functioning nephrons impair drug elimination in older adults.
Question 5 of 5
The nurse administers theophylline (TheoDur) to a client. To evaluate the effectiveness of this medication, which of the following drug actions should the nurse anticipate?
Correct Answer: C
Rationale: Theophylline relaxes bronchial smooth muscle, relieving bronchospasm in COPD. It does not suppress infection, reduce secretions, or thin sputum.