NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client is to be discharged with a prescription for lactulose (Cephulac). The nurse teaches the client and the client's spouse how to administer this medication. Which of the following statements would indicate that the client has understood the information?
Correct Answer: B
Rationale: Mixing lactulose with apple juice (
B) improves palatability. Maalox (
A) is unrelated, additional laxatives (
C) are unnecessary, and lactulose is a liquid, not a tablet (
D).
Question 2 of 5
The nurse interprets which of the following as an early sign of acute respiratory distress syndrome (ARDS) in a client at risk?
Correct Answer: B
Rationale: Hypoxia unresponsive to oxygen therapy is an early ARDS sign due to impaired gas exchange. Elevated CO2, metabolic acidosis, and electrolyte imbalances occur later or are unrelated.
Question 3 of 5
A male client underwent a spinal fusion yesterday. Which of the following nursing assessments should alert the nurse to the development of a possible complication?
Correct Answer: B
Rationale: Clear yellowish fluid suggests a cerebrospinal fluid leak, a serious complication requiring immediate attention.
Question 4 of 5
A nurse is teaching a client with type 1 diabetes mellitus who jogs daily about the preferred sites for insulin absorption. What is the most appropriate site for a client who jogs?
Correct Answer: C
Rationale: The abdomen is the preferred insulin injection site for active individuals like joggers, as it provides consistent absorption and is less affected by exercise compared to the legs.
Question 5 of 5
A client is on complete bed rest. The nurse should assess the client for risk for developing which of the following complications?
Correct Answer: D
Rationale: Complete bed rest increases the risk of thrombophlebitis due to venous stasis from immobility, promoting clot formation. Air embolus is rare, fat embolus is associated with fractures, and stress fractures result from repetitive trauma, not bed rest.