NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client is admitted to the unit with a diagnosis of thrombophlebitis and deep vein thrombosis of the right leg. A loading dose of heparin has been given in the emergency room, and I.V. heparin will be continued for the next several days. The nurse should develop a plan of care for this client that will involve:
Correct Answer: D
Rationale: Heparin therapy for DVT requires monitoring aPTT to ensure therapeutic anticoagulation (1.5–2.5 times baseline). INR is less relevant for heparin but may be monitored if transitioning to warfarin. Aspirin is not typically used, and green leafy vegetables (high in vitamin K) may affect warfarin, not heparin.
Question 2 of 5
Which symptom suggests bladder cancer recurrence?
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.
Question 3 of 5
The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see
Correct Answer: C
Rationale: In macular degeneration the center vision is blackened out and only the outer visual fields are clear.
Question 4 of 5
A client will receive I.V. midazolam hydrochloride (Versed) during surgery. Which of the following should the nurse determine as a therapeutic effect?
Correct Answer: A
Rationale: Midazolam's primary therapeutic effect is amnesia, reducing recall of surgical events. Nausea, agitation, and blurred vision are potential side effects, not desired outcomes.
Question 5 of 5
The nurse is planning care for a client with severe postoperative pain. There is an order for 10 mg MSO4. Which of the following should the nurse do first?
Correct Answer: A
Rationale: MSO4 (morphine sulfate) is typically given IV for severe pain. Obtaining an IV infusion system ensures the medication can be administered safely and effectively.