NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client was admitted to the hospital with iron deficiency anemia and blood-streaked emesis. Which question is most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?
Correct Answer: A
Rationale:
To assess activity intolerance, the nurse should compare the client's current activity level with their previous capabilities. Asking about specific activities performed 6 months ago versus now provides concrete data on the extent of intolerance. The other questions are less specific and do not directly quantify changes in activity capacity.
Question 2 of 5
Which finding indicates a properly functioning ileal conduit?
Correct Answer: B
Rationale: Mucus in the urine is normal due to the intestinal segment used in the conduit.
Question 3 of 5
The nurse should include which of the following instructions in the teaching plan for a client with chronic sinusitis?
Correct Answer: C,D
Rationale: Hot showers help moisten nasal passages and promote sinus drainage, relieving symptoms of chronic sinusitis. Reporting a high fever is critical as it may indicate a worsening infection requiring medical attention. Caffeine restriction is not typically necessary. Postural drainage is more relevant for lung conditions like bronchiectasis.
Question 4 of 5
Which of the following laboratory findings would the nurse expect to find in a client with diverticulitis?
Correct Answer: C
Rationale: Diverticulitis, an inflammatory condition, typically causes an elevated white blood cell count due to infection or inflammation. Red blood cell count, platelet count, and blood urea nitrogen are not directly affected. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
A client complaining of numbness from the back of his left buttock to the dorsum of his foot and big toe is scheduled to undergo a laminectomy. The operative consent form states, 'a left lumbar laminectomy of L3-4.' Which of the following should the nurse do next?
Correct Answer: B
Rationale: The consent form must match the client's symptoms, which suggest L5-S1 involvement, not L3-4. The surgeon must clarify.