Questions 108

NCLEX-RN

Home > NCLEX-RN > RN Medical Surgical Nursing > NCLEX RN Questions Medical Surgical Nursing
NCLEX-RN Test Bank

NCLEX RN Questions Medical Surgical Nursing Questions

Extract:


Question 1 of 5

A client with a fractured right femur has not had any immunizations since childhood. Which of the following biological products should the nurse administer to provide the client with passive immunity for tetanus?

Correct Answer: D

Rationale: Tetanus antitoxin provides passive immunity, neutralizing existing toxin in unvaccinated clients.

Question 2 of 5

A client has a positive reaction to the Mantoux test. The nurse correctly interprets this reaction to mean that the client has:

Correct Answer: B

Rationale: A positive Mantoux test indicates exposure to Mycobacterium tuberculosis, not necessarily active disease. It does not imply resistance or passive immunity.

Question 3 of 5

A client post-appendectomy reports shoulder pain on the second postoperative day. The nurse should suspect which complication?

Correct Answer: B

Rationale: Shoulder pain post-appendectomy may indicate a subdiaphragmatic abscess due to referred pain from diaphragmatic irritation. Pneumonia, thrombosis, and wound infection typically present with other symptoms. CN: Physiological adaptation; CL: Analyze

Question 4 of 5

Which position is best for a client with a hemorrhagic stroke?

Correct Answer: B

Rationale: Head elevation at 30 degrees reduces intracranial pressure while maintaining cerebral perfusion in hemorrhagic stroke.

Question 5 of 5

The nurse is planning care for a client being admitted with bleeding esophageal varices. Vital signs are: Pulse 100; respiratory rate 22; and blood pressure 100/58. The nurse should prepare the client for which of the following? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Octreotide (
A) reduces portal pressure, endoscopy (
B) diagnoses and treats bleeding, blood products (
C) correct hypovolemia, and a Minnesota tube (
D) controls bleeding. TIPS (E) is a later intervention.

Similar Questions

A client developed shock after a severe myocardial infarction and has now developed acute renal failure. The nurse should base the response on the knowledge that there was:
A client is being switched from levodopa (L-dopa) to carbidopa-levodopa (Sinemet). The nurse should monitor for which of the following possible complications during medication changes and dosage adjustment?
A 70-year-old female is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the client, the nurse would most likely learn that the client's childhood health history included:
A 62-year-old male with a history of chronic obstructive pulmonary disease (COPD) and metastatic carcinoma of the lung has not responded to radiation therapy and is being admitted to the hospice program. The nurse should conduct a focused client assessment for:
A client is receiving fluid replacement with Lactated Ringer's after 40% of his body was burned 10 voluto hours ago. The assessment reveals: temperature 36.2°C; heart rate 122; blood pressure 84/42; CVP 2 mm Hg; and urine output 25 mL for the last 2 hours. The I.V. rate is currently at 375 mL/hour. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the healthcare provider with the recommendation for:

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days