NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is planning the care of a hemiplegic client to prevent joint deformities of the arm and hand. Which of the following positions are appropriate?
Correct Answer: A,D
Rationale: Placing a pillow in the axilla (
A) prevents adduction contractures, and a hand cone (
D) maintains slight finger flexion to avoid claw-hand deformity. A sling or keeping the arm at the side may promote contractures, and elevating the hand above the elbow is less critical.
Question 3 of 5
The nurse anticipates that a client who has received propofol (Diprivan) as the induction and maintenance agent for general anesthesia will most likely experience:
Correct Answer: A
Rationale: Propofol is associated with minimal postoperative nausea and vomiting, making it a preferred agent for many surgeries, especially outpatient procedures.
Question 4 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 5 of 5
When a blood transfusion is terminated following a reaction, the nurse must do which of the following? Select all that apply.
Correct Answer: A,B
Rationale: After a transfusion reaction, the nurse should send urine samples to check for hemolysis and return the remaining blood unit to the blood bank for analysis. The IV administration set is not typically returned, and while Risk Management and Infection Control may be notified, these are not immediate actions.