NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be:
Correct Answer: B
Rationale: Nausea, tingling, and dyspnea during an arteriogram suggest a possible allergic reaction to the contrast dye or other complications (e.g., vasovagal response). The nurse should immediately inform the physician to evaluate and manage the situation. Administering epinephrine or oxygen requires a physician's order, and reassuring the client is inappropriate until the issue is addressed.
Question 2 of 5
The client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) to treat angina. Priority goals for the client immediately after PTCA should include:
Correct Answer: B
Rationale: Maintaining adequate blood pressure post-PTCA ensures coronary perfusion and prevents complications like stent thrombosis or ischemia.
Question 3 of 5
Following a thoracotomy, the client has severe pain. Which of the following strategies for pain management will be most effective for this client?
Correct Answer: D
Rationale: Readjusting pain medication dosage based on the client's condition ensures adequate pain control, critical for recovery. Repositioning, reassessing, and reassurance are supportive but less effective alone.
Question 4 of 5
A client has undergone a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Laparoscopic cholecystectomy does not involve a bile bag, so option A is incorrect. Patients should monitor for signs of complications, such as bile-colored drainage, which could indicate a bile leak, making option B correct. Resuming normal activities immediately (
C) is unsafe due to recovery needs, and avoiding pain medications (
D) is unnecessary as pain management is often required.
Question 5 of 5
Which intervention is most appropriate for a client with impaired mobility due to a neurological condition?
Correct Answer: B
Rationale: Providing assistive devices promotes safe mobility and independence for a client with impaired mobility.