Questions 118

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Questions for Med Surg Questions

Extract:


Question 1 of 5

A client is admitted with a 6.5-cm thoracic aneurysm. The nurse records findings from the initial assessment in the client's chart, as shown below. At 10:30 a.m., the client complains of sharp midchest pain after having a bowel movement. What should the nurse do first?

Correct Answer: A

Rationale: Sharp midchest pain in a client with a thoracic aneurysm suggests possible dissection or rupture, a life-threatening emergency. Assessing vital signs (e.g., hypotension, tachycardia) first provides critical data to guide action. Fluid bolus, neurologic assessment, or contacting the physician follow based on findings.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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