NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A 45-year-old single mother of three teenaged boys has metastatic breast cancer. Her parents live 750 miles away and have only been able to visit twice since her initial diagnosis 14 months ago. The progression of her disease has forced the client to consider high-dose chemotherapy. She is concerned about the children's welfare during the treatment. When assessing the client's present support systems, the nurse will be most concerned about the potential problems with:
Correct Answer: B
Rationale: Limited support systems and coping strategies are a major concern, as the client's isolation and responsibility for her children may hinder her ability to manage treatment and emotional stress.
Question 2 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 3 of 5
Which of the following should the nurse expect to assess as normal skin changes in an elderly client? Select all that apply.
Correct Answer: A,C,D
Rationale: Normal aging includes diminished hair, solar lentigo (age spots), and wrinkles. Dusky rubor suggests vascular issues, and yellow pigmentation may indicate jaundice, not normal aging.
Question 4 of 5
A 45-year-old single mother of three teenaged boys has metastatic breast cancer. Her parents live 750 miles away and have only been able to visit twice since her initial diagnosis 14 months ago. The progression of her disease has forced the client to consider high-dose chemotherapy. She is concerned about the children's welfare during the treatment. When assessing the client's present support systems, the nurse will be most concerned about the potential problems with:
Correct Answer: B
Rationale: Limited support systems and coping strategies are a major concern, as the client's isolation and responsibility for her children may hinder her ability to manage treatment and emotional stress.
Question 5 of 5
When receiving a client from the postanesthesia care unit after a splenectomy, which should the nurse assess after obtaining vital signs?
Correct Answer: C
Rationale: After a splenectomy, the nurse should assess the dressing for signs of bleeding, as the spleen is highly vascular, and postoperative hemorrhage is a risk. Nasogastric drainage, urinary output, and pain are assessed later, but the dressing is the priority to detect complications.