NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client with colon cancer is having a barium enema. The nurse should instruct the client to take which of the following after the procedure is completed?
Correct Answer: A
Rationale: After a barium enema, a laxative is ordinarily prescribed. This is done to promote elimination of the barium. Retained barium predisposes the client to constipation and fecal impaction. Anticholinergic drugs decrease gastrointestinal motility. Antacids decrease gastric acid secretion. Demulcents soothe mucous membranes of the gastrointestinal tract and are used to treat diarrhea. CN: Reduction of risk potential; CL: Synthesize
Question 2 of 5
Thirty people are injured in a train derailment. Ineffective and the transported to the hospital first?
Correct Answer: D
Rationale: A sucking chest wound is a life-threatening condition that can impair breathing and requires immediate intervention, prioritizing this patient for transport over others with less urgent injuries.
Question 3 of 5
College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:
Correct Answer: D
Rationale: Hepatitis B is transmitted via blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is more relevant for hepatitis A. Single rooms (
B) are unnecessary. The vaccine (
C) is preventive but not the focus of behavioral instruction.
Question 4 of 5
A priority in the first 24 hours after a bilateral adrenalectomy is:
Correct Answer: C
Rationale: Preventing adrenal crisis is critical post-adrenalectomy due to sudden loss of adrenal hormone production, requiring steroid replacement.
Question 5 of 5
The nurse is admitting a 68-year-old male to the medical floor. The echocardiogram report revealed left ventricular enlargement. The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first?
Correct Answer: A
Rationale: Edema and left ventricular enlargement suggest heart failure, which can cause pulmonary edema. Assessing respiratory status first detects signs of respiratory distress.