NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
A client with colon cancer had a left hemicolectomy 3 weeks previously. The client is still having difficulty maintaining an adequate oral intake to meet metabolic needs for optimal healing. Which of the following nutritional support methods would be most appropriate?
Correct Answer: C
Rationale: A nasogastric feeding tube with protein supplement is appropriate for short-term nutritional support post-hemicolectomy, as it delivers nutrients directly to the stomach while the client's oral intake improves.
Question 2 of 5
When obtaining a nursing history on a client with a suspected gastric ulcer, which signs and symptoms should the nurse expect to assess? Select all that apply.
Correct Answer: A,C,E
Rationale: Gastric ulcers commonly cause epigastric pain at night, vomiting, and melena (dark, tarry stools) due to bleeding. Relief of pain after eating is more typical of duodenal ulcers, and weight loss is less common with gastric ulcers.
Question 3 of 5
What is the priority nursing action for a client with a suspected neurological deficit?
Correct Answer: C
Rationale: Monitoring vital signs is the priority to ensure stability and detect acute changes in a client with a suspected neurological deficit.
Question 4 of 5
The nurse develops a teaching plan for a client scheduled for a spinal fusion. Which of the following should the nurse expect to include?
Correct Answer: A
Rationale: The donor site (e.g., iliac crest) often causes more pain than the fusion site due to tissue trauma.
Question 5 of 5
A client post-cystoscopy is discharged. The nurse should instruct to:
Correct Answer: A
Rationale: Normal activity can resume post-cystoscopy unless complications arise.