NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client is to receive enoxaparin (Lovenox) 6 hours before the scheduled time of her laparoscopic vaginal assisted hysterectomy. Which of the following effects does the nurse recognize as an intended therapeutic action of the enoxaparin?
Correct Answer: B
Rationale: Enoxaparin is an anticoagulant that prevents postoperative thrombi by inhibiting clot formation, reducing the risk of deep vein thrombosis or pulmonary embolism.
Question 2 of 5
Which stone type is associated with acidic urine?
Correct Answer: B
Rationale: Uric acid stones form in acidic urine, requiring alkalinization.
Question 3 of 5
The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the nurse to discontinue prone positioning and return the client to the supine position? Select all that apply.
Correct Answer: C,D,E
Rationale: Decreased SpO2/PO2 (
C), tachycardia with hypotension (
D), and facial skin breakdown/edema (E) indicate complications requiring a return to supine position. Family visits and suctioning needs are manageable in prone position.
Question 4 of 5
Which of the following groups would benefit most from education regarding potential risk factors for melanoma?
Correct Answer: B
Rationale: Senior citizens with repeated exposure to UV rays are at the highest risk for melanoma due to cumulative skin damage. Education on risk factors like UV exposure is most beneficial for this group.
Question 5 of 5
Which intervention promotes comfort post-cystectomy?
Correct Answer: A
Rationale: Deep breathing prevents respiratory complications and promotes comfort.