NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
A client who has been diagnosed with renal calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time?
Correct Answer: B
Rationale: Straining urine is critical when pain becomes intermittent, indicating possible stone passage, to confirm stone expulsion and guide treatment.
Question 2 of 5
During the preoperative interview, the nurse obtains information about the client's medication history. Which of the following is not necessary to record about the client?
Correct Answer: D
Rationale: Recording all drugs taken in the last 18 months is excessive, as many may no longer be relevant to surgical risks. Current medications, recent over-the-counter drugs, and steroid use are critical due to their potential impact on surgery.
Question 3 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.
Question 4 of 5
What is the nurse's priority for a client with Guillain-Barré syndrome?
Correct Answer: A
Rationale: Monitoring respiratory function is the priority due to potential respiratory muscle weakness in Guillain-Barré syndrome.
Question 5 of 5
The nurse is planning a home visit for a client with hepatitis. In order to prevent transmission the nurse should focus teaching on:
Correct Answer: D
Rationale: Hepatitis B and C are transmitted via body fluids, so condom use (
D) prevents sexual transmission. Food handling (
A) is key for hepatitis A, syringe disposal (
B) applies to needle-sharing, and alpha-interferon (
C) is a treatment, not a preventive measure.