NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
A client who has undergone a mitral valve replacement has persistent bleeding from the sternal incision during the early postoperative period. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Checking lab values (
B), confirming blood products (
C), and monitoring chest tube drainage (
D) address bleeding and ensure timely intervention. Warfarin and dopamine are inappropriate for acute bleeding.
Question 2 of 5
Following a total hip replacement, the nurse should position the client in which of the following ways?
Correct Answer: D
Rationale: Slight abduction prevents dislocation by maintaining proper hip alignment.
Question 3 of 5
To ensure safety for a hospitalized blind client, the nurse should:
Correct Answer: C
Rationale: Orienting the client to the room environment promotes safety by helping the blind client navigate the space independently and reduce the risk of falls.
Question 4 of 5
A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for:
Correct Answer: C
Rationale: Crohn's disease with diarrhea can lead to hypokalemia due to potassium loss in stool. Hyperalbuminemia and hypercalcemia are not typical, and thrombocytopenia is less directly related to these symptoms. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
A 92-year-old male client who is independent and lives alone has an inguinal hernia repair. Which teaching method is the best approach to use for his postoperative and discharge instructions?
Correct Answer: C
Rationale: Demonstration and return demonstration is the most effective for an elderly client, as it ensures understanding and ability to perform postoperative care tasks, accommodating potential sensory or cognitive limitations.