NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
A client with a suspected small bowel obstruction reports severe pain and vomiting. Which diagnostic test should the nurse prepare the client for first?
Correct Answer: A
Rationale: An abdominal X-ray is typically the first diagnostic test for a suspected small bowel obstruction to identify air-fluid levels or free air. Barium enema and colonoscopy are contraindicated in acute obstruction, and a CT scan may follow for detailed imaging. CN: Reduction of risk potential; CL: Synthesize
Question 2 of 5
The client with a fractured femur is upset and agitated about her injury and its treatment. She says, 'How can I stay like this for weeks? I can't even move!' Which of the following is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: Ineffective coping reflects the client's emotional distress and agitation due to immobility.
Question 3 of 5
Ergotamine tartrate (Gynergen) is prescribed for a client's migraine headaches. The client's report of which of the following indicates effectiveness?
Correct Answer: B
Rationale: Ergotamine reduces the severity of developing migraines by constricting cranial blood vessels. It is not primarily preventive or used for post-migraine sleeplessness or vision issues.
Question 4 of 5
The nurse notices a pair of nervous-acting individuals entering the emergency department. When reporting suspicious activity, the nurse should include which of the following in the report? Select all that apply.
Correct Answer: A,B
Rationale: Reporting suspicious activity should include objective details like vehicle description and current location to aid security response. Names, relationships, and tone are less critical unless directly relevant.
Question 5 of 5
A client is admitted on the day of surgery for an arthroscopy of the left knee. Which nursing activities should be completed to avoid wrong-site surgery? Select all that apply.
Correct Answer: A,B,C,D
Rationale:
To prevent wrong-site surgery, the surgeon marks the site (
A), the client verifies identity and procedure (
B), records are checked (
C), and a time-out confirms the site (
D). Showing a model (E) is educational but not a standard safety measure.