NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
A client has developed a hospital-acquired pneumonia. When preparing to administer cephalexin (Keflex) 500 mg, the nurse notices that the pharmacy sent cefazolin (Kefzol). What should the nurse do? Select all that apply.
Correct Answer: B,C,D,E
Rationale: The nurse should verify the order (
B), contact the pharmacy (
C), request the correct medication (
D), and return the incorrect drug (E). Administering cefazolin (
A) risks a medication error.
Question 2 of 5
A client post-hemodialysis reports dizziness. The nurse should:
Correct Answer: A
Rationale: Dizziness may indicate hypotension, a common post-dialysis issue.
Question 3 of 5
A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia (
B), a critical adverse effect. Constipation (
A), irregular pulse (
C), and dysuria (
D) are not commonly associated.
Question 4 of 5
The nurse is monitoring a client after an above-the-knee amputation and notes that blood has saturated through the client and the dressing. The nurse should immediately:
Correct Answer: C
Rationale: Blood saturating the dressing post-amputation suggests significant bleeding, a potential emergency. The nurse should immediately call the physician for evaluation and intervention. Applying a tourniquet is extreme and requires an order, assessing vital signs is secondary, and elevating with a pillow may not address the bleeding source.
Question 5 of 5
A client with Parkinson's disease asks the nurse to explain to his nephew "what the doctor said the pallidotomy would do." The nurse's best response includes stating that the main goal for the client after pallidotomy is improved:
Correct Answer: A
Rationale: Pallidotomy aims to improve functional ability by reducing symptoms like tremors and rigidity. Emotional stress, alertness, and appetite are not primary targets of this procedure.