NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A 20-year-old who hit his head while playing football has a tonic-clonic seizure. Upon awakening from the seizure, the client asks the nurse, "What caused me to have a seizure? I've never had one before." Which cause should the nurse include in the response as a primary cause of tonic-clonic seizures in adults older than age 20?
Correct Answer: A
Rationale: Head trauma is a primary cause of seizures in adults over 20, especially in the context of a recent injury. Electrolyte imbalances, congenital defects, or epilepsy are less likely without additional history.
Question 2 of 5
A physician orders a lengthy X-ray examination for a client with osteoarthritis. Which of the following actions by the nurse would demonstrate client advocacy?
Correct Answer: A
Rationale: Dividing the session into shorter ones reduces discomfort, advocating for the client's comfort while ensuring the test is completed.
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 = 60 mL (1 oz = 30 mL). Thus, the nurse should administer 60 mL of lactulose.
Question 4 of 5
The nurse is developing the discharge teaching plan for a client after a lumbar laminectomy L4-5 who will be returning to work in 6 weeks. Which of the following actions should the nurse encourage the client to avoid?
Correct Answer: D
Rationale: Prolonged sitting can stress the surgical site and delay healing post-laminectomy.
Question 5 of 5
Which of the following is a potential complication following cataract surgery? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Potential complications after cataract surgery include acute bacterial endophthalmitis (infection), retrobulbar hemorrhage (bleeding behind the eye), rupture of the posterior capsule (lens capsule tear), suprachoroidal hemorrhage (bleeding in the choroid), and vision loss due to these or other complications.