Questions 108

NCLEX-RN

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

NCLEX RN Medical Surgical Questions and Answers Questions

Extract:


Question 1 of 5

A client with a lumbar spinal fusion is preparing for discharge. Which activity should the nurse advise the client to avoid?

Correct Answer: B

Rationale: Lifting heavy objects can strain the surgical site, delaying healing post-spinal fusion.

Question 2 of 5

The nurse explains to the client with Hodgkin's disease that a bone marrow biopsy will be taken after the aspiration. What should the nurse explain about the biopsy?

Correct Answer: B

Rationale: During a bone marrow biopsy, the client feels pressure but should not experience pain due to local anesthesia. The nurse should instruct the client to report pain for additional anesthesia. The biopsy follows the aspiration, no crunch or suction pain is typical, and an incision may be made for the biopsy, not just aspiration.

Question 3 of 5

When a client cannot read or write but is of sound mind, the nurse should read the consent to the client in the presence of two witnesses and:

Correct Answer: B

Rationale: For a client of sound mind who cannot read/write, reading the consent and having the client mark an 'X' with two witnesses ensures legal informed consent without requiring a guardian.

Question 4 of 5

Three weeks after the client has had an ileostomy, the nurse is following up with instruction about using a skin barrier around the stoma at all times. The client has been applying the skin barrier correctly when:

Correct Answer: C

Rationale: Correct application of a skin barrier is indicated by no skin irritation around the stoma, as the barrier protects the peristomal skin. Odor, hydration, and pouch change frequency are not direct indicators of proper barrier use. CN: Physiological adaptation; CL: Evaluate

Question 5 of 5

A nurse is assessing a 42-year-old client who has been receiving chemotherapy. The client has a platelet count of 22,000 cells/mm³ and has petechiae on the lower extremities. The nurse should advise the client to:

Correct Answer: D

Rationale: A platelet count of 22,000/mm³ with petechiae indicates severe thrombocytopenia, requiring urgent consultation with the oncologist for potential platelet transfusion or treatment adjustment.

Similar Questions

The nurse is a member of a team that is planning a client-centered approach to care of clients with chronic obstructive pulmonary disease (COPD) using the Chronic Care Model (CCM). The team should focus on improving quality of care and delivery in which of the following areas? Select all that apply.
The nurse is planning care for a client on complete bed rest. The plan of care should include all except which of the following:
Which of the following measures would most likely be successful in reducing pleuritic chest pain in a client with pneumonia?
The nurse is caring for a client who is using a portable wound suction unit (see figure). Six hours following surgery, the drainage unit is full. The nurse should do which of the following?
The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. Which of the following findings would be most important for the nurse to report to the physician?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days