NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with acute renal failure reports shortness of breath. The nurse should:
Correct Answer: C
Rationale: Shortness of breath may indicate fluid overload; lung sounds assess for pulmonary edema.
Question 2 of 5
The nurse is assessing a client's nutritional status preoperatively. Which of the following observations would indicate poor nutrition in a 5-foot 7-inch female client who is 21 years of age?
Correct Answer: B
Rationale: Little mass in a 5'7' female suggests low body weight or muscle wasting, indicative of poor nutrition. A weight of 128 lb is within a healthy range, and poor posture or dull expression are less specific to nutritional status.
Question 3 of 5
A client with Cushing's disease tells the nurse that the physician said the morning serum cortisol level was within normal limits. The client asks, 'How can that be? I'm not imagining all these symptoms!' The nurse's response will be based on which of the following?
Correct Answer: C
Rationale: Cushing's disease disrupts the normal diurnal cortisol rhythm, leading to consistently high levels, which may not be captured in a single morning test.
Question 4 of 5
A client is on complete bed rest. The nurse should assess the client for risk for developing which of the following complications?
Correct Answer: D
Rationale: Complete bed rest increases the risk of thrombophlebitis due to venous stasis from immobility, promoting clot formation. Air embolus is rare, fat embolus is associated with fractures, and stress fractures result from repetitive trauma, not bed rest.
Question 5 of 5
The nurse monitors the client with pancreatitis for early signs of shock. Which of the following conditions is primarily responsible for making it difficult to manage shock in pancreatitis?
Correct Answer: B
Rationale: In pancreatitis, fluid sequestration into the retroperitoneal space (
B) causes hypovolemia, complicating shock management. Intestinal hemorrhage (
A), infection (
C), and decreased cardiac output (
D) are less primary contributors.