NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
A client undergoing a mastectomy asks why she needs to sign a blood transfusion consent form. The nurse's best response is:
Correct Answer: A
Rationale: Explaining that the consent is a precaution for potential bleeding addresses the client's question accurately and promotes informed consent.
Question 2 of 5
The nurse is applying a hand mitt restraint for a client with pruritis (see figure). The nurse should be:
Correct Answer: A
Rationale: A physician's order is required for restraints to ensure legal and ethical use, prioritizing patient safety and preventing scratching in pruritus.
Question 3 of 5
Blood pressure in the systemic circulation is highest in the:
Correct Answer: C
Rationale: Blood pressure is highest in the aorta, where blood is ejected directly from the left ventricle during systole, generating peak pressure (systolic pressure). As blood flows through arterioles, capillaries, and venules, pressure progressively decreases due to resistance and vessel compliance. This makes the aorta the correct answer.
Question 4 of 5
The nurse evaluates that the client correctly understands how to report signs and symptoms of bleeding when the client makes which of the following statements?
Correct Answer: B
Rationale: Ecchymoses are large, purple bruises caused by bleeding under the skin, a common sign of thrombocytopenia. This statement shows correct understanding. Petechiae are small, pinpoint red dots, not large bruises; 'emmum' is not a medical term; and abrasions are superficial skin injuries, not bleeding signs.
Question 5 of 5
After an intravenous pyelogram (IVP), the nurse should not include incorporating which of the following measures into the client's plan of care?
Correct Answer: D
Rationale: Administering a laxative is unnecessary post-IVP, as it does not aid recovery or contrast excretion, unlike fluid intake or hematuria assessment.