NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client has a positive reaction to the Mantoux test. The nurse correctly interprets this reaction to mean that the client has:
Correct Answer: B
Rationale: A positive Mantoux test indicates exposure to Mycobacterium tuberculosis, not necessarily active disease. It does not imply resistance or passive immunity.
Question 2 of 5
The nurse explains to the client that a biopsy of the enlarged lymph node is important because, if Hodgkin's disease is present, the histologic examination will reveal which of the following?
Correct Answer: B
Rationale: Hodgkin's disease is diagnosed by the presence of Reed-Sternberg cells, large multinucleated cells, in the lymph node biopsy. Tay-Sachs and Duchenne's cells are unrelated to Hodgkin's.
Question 3 of 5
The nurse is preparing a client for a total hip replacement. Which preoperative teaching should be included to prevent postoperative complications?
Correct Answer: A
Rationale: Avoiding leg crossing prevents hip dislocation, a common complication after total hip replacement. This teaching is critical for postoperative safety and recovery.
Question 4 of 5
Interferon alfa-2b (Intron A) has been prescribed to treat a client with chronic hepatitis B. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: Interferon alfa-2b commonly causes flulike symptoms (
C), such summer fever, chills, and fatigue. Retinopathy (
A), constipation (
B), and hypoglycemia (
D) are not typical adverse effects.
Question 5 of 5
A client has a positive reaction to the Mantoux test. The nurse correctly interprets this reaction to mean that the client has:
Correct Answer: B
Rationale: A positive Mantoux test indicates exposure to Mycobacterium tuberculosis, not necessarily active disease. It does not imply resistance or passive immunity.