NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Question 1 of 5
After a total laryngectomy, the client has a feeding tube. The feeding tube is effective if the tube feedings:
Correct Answer: A
Rationale: The primary purpose of a feeding tube post-laryngectomy is to meet the client's fluid and nutritional needs, as oral intake may be impaired due to surgical changes.
Question 2 of 5
Which of the following is most effective in assessing the client suspected of developing diabetes insipidus?
Correct Answer: B
Rationale: Diabetes insipidus, often caused by head injury, leads to excessive dilute urine output. Hourly urine output measurement is the most effective way to detect this condition early. Vital signs, blood gases, and glucose levels are less specific for this diagnosis.
Question 3 of 5
The nurse monitors a client with cirrhosis for the development of hepatic encephalopathy. Which of the following would be an indication that hepatic encephalopathy is developing?
Correct Answer: A
Rationale: Hepatic encephalopathy causes decreased mental status (
A) due to ammonia buildup. Elevated blood pressure (
B), decreased urine output (
C), and labored respirations (
D) are not primary indicators.
Question 4 of 5
After the initial phase of the burn injury, the client's plan of care will focus primarily on:
Correct Answer: C
Rationale: Infection prevention is critical in the acute phase of burn care, as burns compromise the skin's barrier, increasing infection risk. Other options are secondary priorities.
Question 5 of 5
The client who has undergone a bilateral adrenalectomy is ready to return home. She tells the nurse that she is concerned about persistent body changes and the fact that her moods are still so unpredictable. She says, 'I thought surgery was supposed to fix all that.' The nurse should tell the client that:
Correct Answer: B
Rationale: Post-adrenalectomy, with proper hormone replacement, physical changes and mood swings gradually resolve as hormone levels normalize.