NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client has an emergency embolectomy for an embolus in the femoral artery. After the client returns from the recovery room, in what order, from first to last, should the nurse provide care?
Correct Answer: D,C,A,B,E
Rationale: Order: 1) Monitor pulses (ensure arterial patency post-embolectomy); 2) Regulate I.V. infusion (maintain hydration/perfusion); 3) Administer pain medication (manage comfort); 4) Draw blood for labs (monitor coagulation); 5) Inspect dressing (check for bleeding/infection).
Question 2 of 5
Which of the following laboratory findings would the nurse expect to find in a client with diverticulitis?
Correct Answer: C
Rationale: Diverticulitis, an inflammatory condition, typically causes an elevated white blood cell count due to infection or inflammation. Red blood cell count, platelet count, and blood urea nitrogen are not directly affected. CN: Physiological adaptation; CL: Analyze
Question 3 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 4 of 5
A client has been admitted with draining foot lesions. The nurse should do which of the following? Select all that apply.
Correct Answer: C,D,E,F
Rationale: Draining lesions require contact precautions, including a private room, isolation signage, gowns, and gloves (latex-free to avoid allergies). Negative pressure is for airborne pathogens.
Question 5 of 5
A hospice client's family asks how they will know when death is imminent. The nurse should explain that signs include:
Correct Answer: B
Rationale: Cheyne-Stokes respirations, characterized by alternating periods of apnea and deep breathing, are a common sign of imminent death.