NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Question 1 of 5
A client post-cystectomy is at risk for:
Correct Answer: A
Rationale: Cystectomy may impair vitamin B12 absorption due to ileum resection.
Question 2 of 5
The nurse is assessing a client who has had a myocardial infarction (MI). The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifi es this rhythm as which of the following?

Correct Answer: C
Rationale: PVCs are early depolarizations originating in the ventricles, and they present exactly as seen in your strip.
Question 3 of 5
The nurse's discharge teaching plan for the client with heart failure should stress the importance of which of the following?
Correct Answer: C
Rationale: Daily weights at the same time detect fluid retention early, a key strategy to prevent heart failure exacerbations.
Question 4 of 5
Which complication should the nurse monitor for in a client with a new ileal conduit?
Correct Answer: A
Rationale: Stoma prolapse is a potential complication of an ileal conduit, requiring surgical correction if severe.
Question 5 of 5
A client with diabetes mellitus comes to the clinic for a regular 3-month follow-up appointment. The nurse notes several small bandages covering cuts on the client's hands. The client says, 'I'm so clumsy. I'm always cutting my finger cooking or burning myself on the iron.' Which of the following responses by the nurse would be most appropriate?
Correct Answer: B
Rationale: Keeping cuts clean and covered prevents infection, a significant risk in diabetes due to poor wound healing.