Questions 118

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions Medical Surgical Nursing Questions

Question 1 of 5

A nurse is assessing a client with a urinary tract infection who takes an antihypertensive drug. The nurse reviews the client’s urinalysis results (see chart). The nurse should:

Question Image

Correct Answer: A

Rationale: The client’s urine specifi c gravity is elevated. Specific gravity is a refl ection of the concentrating ability of the kidneys. This level indicates that the urine is concentrated. By increasing fluid intake, the urine will become more dilute. Antihypertensives do not make urine more concentrated unless there is a diuretic component within them. The nurse should not hold a dose of antihypertensive medication. Sodium tends to pull water with it; by restricting sodium, less water, not more, will be present. Bananas do not aid in the dilution of urine.

Question 2 of 5

Which of the following hospitalized clients is at risk to develop parotitis?

Correct Answer: C

Rationale: Dehydration and poor oral hygiene in the 80-year-old client increase the risk of parotitis due to reduced saliva production and bacterial overgrowth.

Question 3 of 5

Which of the following is a priority goal for the client with chronic obstructive pulmonary disease (COPD)?

Correct Answer: A

Rationale: Maintaining functional ability is a priority in COPD to preserve quality of life and independence. Chest pain is not a primary issue. Increasing CO2 is harmful. Treating infections is important but not the top goal.

Question 4 of 5

What instructions should the nurse provide to a client who develops cellulitis in the right arm after a right modified radical mastectomy?

Correct Answer: A

Rationale: Antibiotics for 1-2 weeks are the primary treatment for cellulitis, a bacterial infection, to prevent complications in a post-mastectomy client with lymphedema risk.

Question 5 of 5

A client was admitted to the hospital with iron deficiency anemia and blood-streaked emesis. Which question is most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?

Correct Answer: A

Rationale:
To assess activity intolerance, the nurse should compare the client's current activity level with their previous capabilities. Asking about specific activities performed 6 months ago versus now provides concrete data on the extent of intolerance. The other questions are less specific and do not directly quantify changes in activity capacity.

Similar Questions

Access More Questions!

NCLEX RN Basic


$89/ 30 days

 

NCLEX RN Premium


$150/ 90 days