NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
A client is scheduled for an elective splenectomy. Immediately before the client goes to surgery, the nurse should determine that the client has:
Correct Answer: B
Rationale: Verifying that the client has signed the consent form is the priority before surgery to ensure informed consent and legal compliance. Voiding, recording vital signs, and checking the name band are also important but secondary to consent verification.
Question 2 of 5
A client post-cystectomy is at risk for:
Correct Answer: A
Rationale: Cystectomy may impair vitamin B12 absorption due to ileum resection.
Question 3 of 5
Several clients have come to the emergency department after a possible bioterrorist act of arsenic overexposure. The nurse should assess these clients for which signs or symptoms immediately following the poisoning? Select all that apply.
Correct Answer: A,B,C
Rationale: Arsenic poisoning typically presents with acute gastrointestinal symptoms such as violent vomiting, severe diarrhea, and abdominal pain due to its toxic effects on the digestive system. Sensory neuropathy and persistent cough are less common immediate symptoms.
Question 4 of 5
A client is admitted on the day of surgery for an arthroscopy of the left knee. Which nursing activities should be completed to avoid wrong-site surgery? Select all that apply.
Correct Answer: A,B,C,D
Rationale:
To prevent wrong-site surgery, the surgeon marks the site (
A), the client verifies identity and procedure (
B), records are checked (
C), and a time-out confirms the site (
D). Showing a model (E) is educational but not a standard safety measure.
Question 5 of 5
A client with colon cancer had a left hemicolectomy 3 weeks previously. The client is still having difficulty maintaining an adequate oral intake to meet metabolic needs for optimal healing. Which of the following nutritional support methods would be most appropriate?
Correct Answer: C
Rationale: A nasogastric feeding tube with protein supplement is appropriate for short-term nutritional support post-hemicolectomy, as it delivers nutrients directly to the stomach while the client's oral intake improves.