NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client who has had a total hip replacement has a dislocated hip prosthesis. The nurse should first?
Correct Answer: D
Rationale: Notifying the surgeon is the priority, as dislocation requires urgent medical intervention.
Question 2 of 5
Which symptom suggests bladder cancer recurrence?
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.
Question 3 of 5
A client with lung cancer is being cared for by his wife at home. His pain is increasing in severity. The nurse recognizes that teaching has been effective when the wife does which of the following? Select all that apply.
Correct Answer: A,B,D,F
Rationale: Effective pain management includes around-the-clock long-acting opioids (
A), immediate-release opioids for breakthrough pain (
B), non-pharmacologic methods like music or heat/cold (
D), and using a pain scale to assess effectiveness (F). Avoiding long-acting opioids (
C) or substituting acetaminophen (E) is not appropriate for severe cancer pain.
Question 4 of 5
A client informs the nurse that she is using an herbal therapy while receiving chemotherapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Determining the herbal therapies used and informing the physician ensures safety, as some herbs can interact with chemotherapy drugs, affecting efficacy or toxicity.
Question 5 of 5
The incidence and risk of cancer increase when smoking is combined with:
Correct Answer: A
Rationale: Smoking combined with asbestos exposure and alcohol consumption significantly increases cancer risk, particularly for lung and head/neck cancers, due to synergistic carcinogenic effects.