Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Med Surg Questions Questions

Extract:


Question 1 of 5

A 62-year-old Chinese man is admitted with multiple injuries from a motor vehicle accident. He complains of severe pain and requests frequent medication. One of the assistive nursing personnel expresses surprise, saying, "I thought Asian people were very stoic about pain." Which is the nurse's best response about pain?

Correct Answer: A

Rationale: Pain expression and perception vary individually due to cultural, personal, and situational factors, countering the stereotype. Pain tolerance and perception are not uniform or solely genetic.

Question 2 of 5

A 27-year-old female has had elective nasal surgery for a deviated septum. Which of the following would indicate that bleeding was occurring even if the nasal drip pad remained dry and intact?

Correct Answer: B

Rationale: Repeated swallowing may indicate blood trickling down the throat (postnasal drip), a sign of bleeding. Nausea, increased respiratory rate, and pain are less specific indicators of bleeding.

Question 3 of 5

A client with pneumonia is experiencing pleuritic chest pain. The nurse should assess the client for:

Correct Answer: C

Rationale: Pleuritic chest pain is sharp or moderate and worsens with inspiration due to inflamed pleura. Constant aching, midsternal pain, or muscle spasm pain are not characteristic of pleurisy.

Question 4 of 5

A client with a history of renal calculi formation is being discharged after surgery to remove the calculus. What instructions should the nurse include in the client's discharge teaching plan?

Correct Answer: A,B

Rationale: High fluid intake (2-3 L) prevents stone recurrence, and straining urine monitors for stone passage. Dairy restriction or urine alkalinization depends on stone type.

Question 5 of 5

What is a goal of care for a client with acute renal failure?

Correct Answer: A

Rationale: Maintaining adequate urine output indicates improving renal function.

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