Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Questions for Med Surg Questions

Extract:


Question 1 of 5

A client is scheduled for an ileostomy. Which of the following interventions would be most helpful in preparing the client psychologically for the surgery?

Correct Answer: B

Rationale: Encouraging the client to ask questions about managing an ileostomy promotes active engagement, addresses specific concerns, and supports psychological preparation. Including family, providing explanations, or arranging visits are helpful but less directly empower the client's coping process. CN: Psychosocial adaptation; CL: Synthesize

Question 2 of 5

Which of the following should the nurse provide as part of the information to prepare the client for tonometry?

Correct Answer: B

Rationale:
Tonometry measures intraocular pressure and is typically painless with no adverse effects, requiring no pupil dilation or pain medication.

Question 3 of 5

A client has undergone an amputation of several toes and a femoral-popliteal bypass. The nurse should teach the client that after surgery which of the following leg positions is contraindicated for her while sitting in a chair?

Correct Answer: A

Rationale: Crossing the legs is contraindicated post-femoral-popliteal bypass and toe amputation, as it compresses blood vessels, impairing circulation and increasing the risk of graft occlusion or ischemia. Elevating legs, flexing ankles, and extending knees are generally acceptable unless otherwise specified.

Question 4 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 5 of 5

The nurse teaches a client about using the crutches, instructing the client to support her weight primarily on which of the following body areas?

Correct Answer: D

Rationale: Weight should be supported on the hands to prevent nerve damage in the axillae.

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