Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Medical Surgical Questions and Answers Questions

Extract:


Question 1 of 5

A client who has undergone a subtotal thyroidectomy is subject to complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:

Correct Answer: D

Rationale: Tracheotomy equipment is essential due to the risk of airway obstruction from swelling or hemorrhage post-thyroidectomy.

Question 2 of 5

Which activity should a client with an ileal conduit avoid?

Correct Answer: C

Rationale: Heavy lifting can strain the stoma site, increasing hernia risk.

Question 3 of 5

A client is newly diagnosed with cancer and is beginning a treatment plan. Which of the following nursing interventions will be most effective in helping the client cope?

Correct Answer: D

Rationale: Identifying available resources (e.g., support groups, counseling) empowers the client to cope with the emotional and practical challenges of a new cancer diagnosis.

Question 4 of 5

The nurse is assessing a hospitalized older client for the presence of pressure ulcers. The nurse notes that the client has a 1" × 1" area on his sacrum in which there is skin breakdown as far as the dermis. What should the nurse note on the chart?

Correct Answer: B

Rationale: A Stage II pressure ulcer involves partial-thickness skin loss extending to the dermis, matching the description of the sacral breakdown.

Question 5 of 5

Which of the following should lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?

Correct Answer: A

Rationale: Fat embolism commonly presents with acute respiratory distress, a life-threatening complication of femoral fractures.

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