NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
A client is brought to the emergency department unconscious. An empty bottle of aspirin was found in his car, and a drug overdose is suspected. Which of the following medications should the nurse have available for further emergency treatment?
Correct Answer: C
Rationale: Activated charcoal is used to adsorb aspirin in the stomach, reducing absorption in an overdose. Vitamin K is for anticoagulant reversal, dextrose for hypoglycemia, and sodium thiosulfate for cyanide poisoning.
Question 2 of 5
Following a transsphenoidal hypophysectomy, the nurse should assess the client for:
Correct Answer: A
Rationale: A CSF leak is a potential complication of transsphenoidal hypophysectomy due to the surgical approach through the sphenoid sinus, requiring careful monitoring.
Question 3 of 5
An older adult client in stage 2 of Parkinson's disease is being discharged with cellulitis of the right lower extremity. Which of the following nursing diagnoses will guide the discharge teaching? Select all that apply.
Correct Answer: B,C
Rationale: Cellulitis causes impaired skin integrity due to infection and inflammation. Parkinson's increases fall risk, supporting risk for injury. Other options are less directly related.
Question 4 of 5
A female client diagnosed with lung cancer is to have a left lower lobectomy. Which of the following increase the client's risk of developing postoperative pulmonary complications?
Correct Answer: A
Rationale: Low body weight (5'7€, 110 lb) indicates malnutrition, increasing the risk of postoperative pulmonary complications due to weakened respiratory muscles. Emotional suppression, good exercise tolerance, and age 58 are less directly related.
Question 5 of 5
Which of the following should be readily available at the bedside of a client with a chest tube in place?
Correct Answer: C
Rationale: A bottle of sterile water is needed to restore the water seal if the chamber is compromised. Tracheostomy trays, extra chest tubes, and spirometers are not immediately necessary.