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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

A client has a leg immobilized in traction. Which of the following activities demonstrated by the client indicate that the client understands actions to take to prevent muscle atrophy?

Correct Answer: C

Rationale: Isometric exercises maintain muscle strength without moving the immobilized leg.

Question 2 of 5

In preparing the client and the family for a postoperative stay in the intensive care unit (ICU) after open heart surgery, the nurse should explain that:

Correct Answer: D

Rationale: Pain management is a priority post-open heart surgery, and clients receive medications to ensure comfort in the ICU.

Question 3 of 5

The nurse should be especially alert for signs and symptoms of digoxin toxicity if serum levels indicate that the client has a:

Correct Answer: D

Rationale: Low potassium (hypokalemia) increases the risk of digoxin toxicity by enhancing digoxin's binding to cardiac cells, leading to arrhythmias.

Question 4 of 5

A nurse receives the taped change-of-shift report for assigned clients and prioritizes client rounds. In what order should the nurse assess these clients?

Order the Items

Source Container

A client with an endotracheal tube transferred out of the intensive care unit that day.
A client with type 2 diabetes who had a cerebrovascular accident 4 days ago.
A client with cellulitis of the left lower extremity with a fever of 100.8°F (38.2°C).
A client receiving D5W I.V. at 125 mL/hour with 75 mL remaining.

Correct Answer: A,C,B,D

Rationale: The client with a new endotracheal tube (
A) is highest priority due to airway risk. The febrile client with cellulitis (
C) is next for infection monitoring. The stroke client (
B) is stable 4 days post-event. The I.V. fluid client (
D) is lowest priority.

Question 5 of 5

A client treated for hypertension with furosemide (Lasix), atenolol (Tenormin), and ramipril (Altace) develops a second degree heart block Mobitz type 1. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Atenolol, a beta-blocker, can exacerbate heart block by slowing conduction. Withholding it and consulting the physician is the priority.

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In planning care for the client who has had a stroke, the nurse should obtain a history of the client's functional status before the stroke because?
Following a gastrectomy, the nurse should position the client in which of the following positions?
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