NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client in a hospice program has increasing pain. The nurse and client collaborate to schedule analgesics to provide which of the following?
Correct Answer: D
Rationale: Around-the-clock administration of analgesics ensures continuous pain relief, which is critical for hospice patients with persistent pain, preventing pain escalation.
Question 2 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 3 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 4 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 5 of 5
A client who had a left thoracoscopy sustained an injury secondary to the surgery position. The nurse should assess the client for:
Correct Answer: C
Rationale: Thoracoscopy positioning (lateral decubitus) can compress nerves in the arm, causing tingling due to brachial plexus injury. Footdrop or Achilles reflex issues are unrelated to this position.