NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client post-appendectomy reports shoulder pain on the second postoperative day. The nurse should suspect which complication?
Correct Answer: B
Rationale: Shoulder pain post-appendectomy may indicate a subdiaphragmatic abscess due to referred pain from diaphragmatic irritation. Pneumonia, thrombosis, and wound infection typically present with other symptoms. CN: Physiological adaptation; CL: Analyze
Question 2 of 5
A client has chest pain rated at 8 on a 10 point visual analog scale. The 12-lead electrocardiogram reveals ST elevation in the inferior leads and Troponin levels are elevated. What is the highest priority for nursing management of this client at this time?
Correct Answer: D
Rationale: The client is experiencing an acute myocardial infarction, indicated by ST elevation and elevated troponin. Reducing pain and myocardial oxygen demand is critical to minimize further cardiac damage.
Question 3 of 5
Which position is best for a client with a hemorrhagic stroke?
Correct Answer: B
Rationale: Head elevation at 30 degrees reduces intracranial pressure while maintaining cerebral perfusion in hemorrhagic stroke.
Question 4 of 5
The client has just had a total knee replacement for severe osteoarthritis. Which of the following assessment findings should lead the nurse to suspect possible nerve damage?
Correct Answer: A
Rationale: Numbness indicates potential nerve damage, requiring urgent evaluation.
Question 5 of 5
A client is having a blood transfusion reaction. The nurse must do the following in what order of priority from first to last?
Order the Items
Source Container
Correct Answer: C,D,A,B
Rationale: In a transfusion reaction, the nurse must first stop the transfusion to prevent further infusion of the offending blood. Next, keep the IV line open with normal saline to maintain access and support circulation.
Then, notify the physician and blood bank for further evaluation and management. Finally, complete the transfusion reaction forms to document the incident.