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NCLEX RN Questions Medical Surgical Nursing Questions

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Question 1 of 5

A client has had a nasogastric tube connected to low intermittent suction. The client is at risk for which of the following complications?

Correct Answer: B

Rationale: Nasogastric suction can cause electrolyte imbalances, such as hypokalemia, leading to muscle cramping due to loss of potassium-rich gastric fluid.

Question 2 of 5

Which activity should the nurse encourage the client to avoid when there is a risk for increased intracranial pressure (ICP)?

Correct Answer: C

Rationale: Coughing increases intrathoracic pressure, which can elevate ICP. Deep breathing, turning, and passive ROM are generally safe and may even help prevent complications like atelectasis or contractures if done gently.

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

The nurse is planning care for a client being admitted with bleeding esophageal varices. Vital signs are: Pulse 100; respiratory rate 22; and blood pressure 100/58. The nurse should prepare the client for which of the following? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Octreotide (
A) reduces portal pressure, endoscopy (
B) diagnoses and treats bleeding, blood products (
C) correct hypovolemia, and a Minnesota tube (
D) controls bleeding. TIPS (E) is a later intervention.

Question 5 of 5

Which of the following groups would benefit most from education regarding potential risk factors for melanoma?

Correct Answer: B

Rationale: Senior citizens with repeated exposure to UV rays are at the highest risk for melanoma due to cumulative skin damage. Education on risk factors like UV exposure is most beneficial for this group.

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