NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
A client refuses to remove a religious necklace before surgery despite hospital policy. The nurse's best response is:
Correct Answer: B
Rationale: Taping the necklace securely respects the client's beliefs while ensuring safety by preventing the item from interfering with the surgical field.
Question 2 of 5
Which of the following should be included in the teaching plan for a cancer client who is experiencing thrombocytopenia? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Thrombocytopenia increases bleeding risk, so using an electric razor (
A), soft-bristle toothbrush (
B), avoiding flossing (
C), and reporting bleeding (F) are critical to prevent and monitor bleeding complications. NSAIDs (
D) are contraindicated, and temperature monitoring (E) is unrelated to thrombocytopenia.
Question 3 of 5
When teaching the diabetic client about foot care, the nurse should instruct the client to do which of the following?
Correct Answer: A
Rationale: Diabetic clients should avoid going barefoot to prevent foot injuries, which can lead to serious complications due to poor healing and neuropathy.
Question 4 of 5
Which of the following interventions should the nurse anticipate incorporating into the client's plan of care when hepatic encephalopathy initially develops?
Correct Answer: D
Rationale: A low-protein diet (
D) reduces ammonia production in hepatic encephalopathy. NG tubes (
A), fluid restriction (
B), and albumin (
C) are not primary interventions.
Question 5 of 5
A client with colon cancer had a left hemicolectomy 3 weeks previously. The client is still having difficulty maintaining an adequate oral intake to meet metabolic needs for optimal healing. Which of the following nutritional support methods would be most appropriate?
Correct Answer: C
Rationale: A nasogastric feeding tube with protein supplement is appropriate for short-term nutritional support post-hemicolectomy, as it delivers nutrients directly to the stomach while the client's oral intake improves.