NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client in the postanesthesia care unit with a left below-the-knee amputation has pain in her left big toe. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Phantom limb pain is real and distressing; acknowledging it validates the client's experience.
Question 2 of 5
The nurse is assessing a client with a casted arm for signs of infection. Which finding is most concerning?
Correct Answer: B
Rationale: A foul odor from the cast suggests infection, requiring immediate evaluation.
Question 3 of 5
Which finding indicates a properly functioning ileal conduit?
Correct Answer: B
Rationale: Mucus in the urine is normal due to the intestinal segment used in the conduit.
Question 4 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 5 of 5
A client is to receive enoxaparin (Lovenox) 6 hours before the scheduled time of her laparoscopic vaginal assisted hysterectomy. Which of the following effects does the nurse recognize as an intended therapeutic action of the enoxaparin?
Correct Answer: B
Rationale: Enoxaparin is an anticoagulant that prevents postoperative thrombi by inhibiting clot formation, reducing the risk of deep vein thrombosis or pulmonary embolism.