NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client who is recovering from a subtotal gastrectomy experiences dumping syndrome. The client asks the nurse, 'When will I be able to eat three meals a day again like I used to?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Most clients can gradually resume a normal meal pattern (three meals a day) within 6 to 12 months as the body adapts post-gastrectomy, making this the most accurate and supportive response.
Question 2 of 5
The nurse should remind family members who are visiting a client with granulocytopenia to:
Correct Answer: B
Rationale: Hand washing is the most effective way to prevent transmission of pathogens to a granulocytopenic client, who is at high risk for infection. While avoiding colds, leaving children at home, and avoiding kissing are helpful, hand washing is the priority.
Question 3 of 5
Which symptom suggests bladder cancer recurrence?
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.
Question 4 of 5
The nurse is planning to give preoperative instructions to a client who will be undergoing rhinoplasty. Which of the following instructions should be included:
Correct Answer: D
Rationale: Aspirin can increase bleeding risk, so it should be avoided for 2 weeks before surgery. Nasal packing is typically removed within 1–3 days. Saline drops are not routinely required preoperatively. Surgical results may take weeks to months to be fully apparent due to swelling.
Question 5 of 5
The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see
Correct Answer: C
Rationale: In macular degeneration the center vision is blackened out and only the outer visual fields are clear.