NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client is admitted with a myocardial infarction and new onset atrial fibrillation. While auscultating the heart, the nurse notes an irregular heart rate and hears an extra heart sound at the apex after the S2 that remains constant throughout the respiratory cycle. The nurse should document these findings as:
Correct Answer: A
Rationale: An extra heart sound after S2 at the apex, constant through the respiratory cycle, is an S3, often associated with heart failure post-myocardial infarction. Atrial fibrillation causes an irregular heart rate.
Question 2 of 5
Which of the following medications should be available to provide emergency treatment if a client develops tetany after a subtotal thyroidectomy?
Correct Answer: B
Rationale: Calcium gluconate is used to treat tetany by correcting hypocalcemia, which causes muscle spasms and tingling.
Question 3 of 5
Which intervention is contraindicated for a client with a seizure disorder?
Correct Answer: B
Rationale: Using a padded tongue depressor is contraindicated as it can cause injury during a seizure.
Question 4 of 5
A client with renal calculi is prescribed potassium citrate. The purpose is to:
Correct Answer: B
Rationale: Potassium citrate alkalinizes urine, preventing uric acid stone formation.
Question 5 of 5
What is the priority intervention for a client with a suspected stroke?
Correct Answer: C
Rationale: Monitoring neurological status is the priority to detect changes and guide timely stroke intervention.