NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
A client requests a narcotic analgesic shortly after the oncoming nurse receives change-of-shift report. The nurse who is leaving reported that the client had received morphine 10 mg (IM) within the past hour. The nurse should ask the outgoing RN to do which of the following actions?
Correct Answer: A
Rationale: Validating with the outgoing RN confirms the morphine administration, ensuring safe timing of the next dose and preventing overdose.
Question 2 of 5
The nurse is teaching a 17-year-old client and the client's family about what to expect with high-dose chemotherapy. Which of the following side effects should be included in the teaching plan?
Correct Answer: A
Rationale: Fever is a common side effect of high-dose chemotherapy due to neutropenia and increased infection risk, and should be included in the teaching plan.
Question 3 of 5
A 62-year-old Chinese man is admitted with multiple injuries from a motor vehicle accident. He complains of severe pain and requests frequent medication. One of the assistive nursing personnel expresses surprise, saying, "I thought Asian people were very stoic about pain." Which is the nurse's best response about pain?
Correct Answer: A
Rationale: Pain expression and perception vary individually due to cultural, personal, and situational factors, countering the stereotype. Pain tolerance and perception are not uniform or solely genetic.
Question 4 of 5
A client with pancreatic cancer is experiencing severe pain and is suspected to have a malignant bowel obstruction. The nurse should anticipate an order for:
Correct Answer: A
Rationale: A nasogastric tube is used to decompress the bowel and relieve symptoms in malignant bowel obstruction, providing palliative relief.
Question 5 of 5
Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply.
Correct Answer: A,B,D
Rationale: Rheumatoid arthritis is more common in adults aged 20-50, has a genetic association with HLA-DR4, and may be linked to Epstein-Barr virus. Males are less likely than females to develop RA, and osteoarthritis is a distinct condition.