NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
A client with a history of renal calculi formation is being discharged after surgery to remove the calculus. What instructions should the nurse include in the client's discharge teaching plan?
Correct Answer: A,B
Rationale: High fluid intake (2-3 L) prevents stone recurrence, and straining urine monitors for stone passage. Dairy restriction or urine alkalinization depends on stone type.
Question 2 of 5
The client with chronic pancreatitis should be monitored closely for the development of which of the following disorders?
Correct Answer: D
Rationale: Chronic pancreatitis damages pancreatic tissue, impairing insulin production and increasing the risk of diabetes mellitus (
D). Cholelithiasis (
A), hepatitis (
B), and irritable bowel syndrome (
C) are less directly related.
Question 3 of 5
A client with an ileal conduit has a rash around the stoma. The nurse should:
Correct Answer: B
Rationale: Cleaning with soap and water removes irritants, promoting rash healing.
Question 4 of 5
A client in the postanesthesia care unit is being actively rewarmed with an external warming device. How often should the nurse monitor the client's body temperature?
Correct Answer: C
Rationale: Monitoring temperature every 15 minutes during active rewarming ensures timely detection of hypothermia resolution or hyperthermia, balancing safety and practicality.
Question 5 of 5
A client who was a victim of a gunshot wound was treated in the emergency department and died. What should the nurse direct the unlicensed assistive personnel (UAP) to do during postmortem care? Select all that apply.
Correct Answer: B,D
Rationale: UAP can cover the body and transport it to the morgue. Removing tubes may be restricted due to forensic needs, and notifying family or chaplain is typically a nurse's responsibility.