NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
A 60-year-old client with acute myeloid leukemia (AML) states that he overheard one of the other clients say that AML had a very poor prognosis. The client explains to the nurse that he had understood his doctor to say that he had a relatively good prognosis. Which is the nurse's best response?
Correct Answer: D
Rationale: The prognosis for AML varies based on factors like cell differentiation, age, and genetics. The nurse should clarify that the doctor's prognosis was specific to the client's cell differentiation, reassuring him without dismissing his concerns. The other responses are either confrontational, overly general, or irrelevant.
Question 2 of 5
The nurse is assessing a client with a cast for compartment syndrome. Which finding is most indicative?
Correct Answer: B
Rationale: Numbness is a key sign of compartment syndrome, indicating nerve compression requiring urgent intervention.
Question 3 of 5
Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?
Correct Answer: C
Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.
Question 4 of 5
A client with osteoarthritis will undergo an arthrocentesis on his painful edematous knee. What should be included in the nursing plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Explaining the procedure You are missing 30 questions, assessing for bleeding, and offering pain medication are key. Arthrocentesis is a minor procedure, not surgery, and immobilization for 2 days is not typically required.
Question 5 of 5
The nurse is to administer Polycillin (ampicillin) 500 mg orally to a client with a ruptured appendix. The nurse checks the capsule in the client's medication box which is located inside of the client's room. The dosage of the medication is not labeled, but the nurse recognizes the color and shape of the capsule. The nurse should next:
Correct Answer: C
Rationale: Contacting the pharmacy to bring a properly labeled medication ensures safe administration, as recognizing the capsule's color and shape is insufficient for verification. Administering without confirmation or relying on another nurse risks error, and reporting to the manager delays care. CN: Safety and infection control; CL: Synthesize