NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
A client with an ileal conduit reports a bulging stoma. The nurse suspects:
Correct Answer: B
Rationale: A bulging stoma suggests a parastomal hernia, a complication requiring evaluation.
Question 2 of 5
The client has been taking magnesium hydroxide (milk of magnesia) at home in an attempt to control hiatal hernia symptoms. The nurse should assess the client for which of the following conditions most commonly associated with the ongoing use of magnesium-based antacids?
Correct Answer: C
Rationale: Magnesium hydroxide commonly causes diarrhea as an adverse effect, which the nurse should assess for with ongoing use.
Question 3 of 5
Which symptom suggests a complication post-renal surgery?
Correct Answer: A
Rationale: Low urine output (25 mL/hour) may indicate obstruction or renal impairment.
Question 4 of 5
A nurse is caring for a client who is undergoing chemotherapy. Current laboratory values are noted on the chart. Which action would be most appropriate for the nurse to implement?
Correct Answer: B
Rationale: With a low white blood cell count (1,600/mm³) and absolute neutrophil count (<1,000/mm³), hand washing before and after entering the room is critical to prevent infection in this neutropenic client.
Question 5 of 5
Which pediatric surgery client should not play with a balloon?
Correct Answer: B
Rationale: A child post-tonsillectomy should avoid balloons, as blowing or playing with them can increase intraoral pressure, risking bleeding or disruption of the surgical site.