NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
A client with a surgical wound reports itching around the incision site on postoperative day 5. The nurse should:
Correct Answer: C
Rationale: Itching is common during healing, but scratching can disrupt the incision. Instructing the client to avoid scratching prevents wound dehiscence while further assessment can rule out infection.
Question 2 of 5
Which information should the nurse include when developing a teaching plan for a client newly diagnosed with type 2 diabetes mellitus. Select all that apply.
Correct Answer: A,D,E
Rationale: Obesity, especially central, is a major risk factor for complications. Carbohydrates require monitoring to manage blood glucose. Annual eye and foot exams are recommended. Insulin is not mandatory for type 2 diabetes, and exercise decreases insulin resistance.
Question 3 of 5
The nurse is assessing a client with chronic pain. Which of the following is an expected response?
Correct Answer: B
Rationale: Chronic pain often results in normal vital signs (due to adaptation), physical inactivity (to avoid pain), and unusual physical sensitivity, as patients may guard or protect painful areas.
Question 4 of 5
A client with an extracapsular hip fracture returns to the nursing unit after internal fixation and pin insertion with a drainage tube at the incision site. Her husband asks, 'Why does she have this tube inserted in her hip?' Which of the following responses would be best?
Correct Answer: C
Rationale: The drainage tube prevents fluid accumulation, reducing infection risk and promoting healing.
Question 5 of 5
The nurse is preparing a client for a paracentesis. The nurse should:
Correct Answer: A
Rationale: Voiding before paracentesis (
A) prevents bladder injury. Side-lying (
B) is incorrect; upright is preferred. IV sedatives (
C) are not routine, and NPO (
D) is unnecessary.