Questions 108

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Medical Surgical Nursing NCLEX RN Questions Questions

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Question 1 of 5

A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to:

Correct Answer: A

Rationale: Patching both eyes reduces rapid eye movements, which could worsen retinal detachment by preventing further stress on the retina.

Question 2 of 5

The nurse develops a plan of care for a client in the initial postoperative period following a lumbar laminectomy. Which of the following activities is contraindicated?

Correct Answer: D

Rationale: Prolonged sitting stresses the surgical site and is contraindicated post-laminectomy.

Question 3 of 5

Which of the following interventions should the nurse anticipate in a client who has been diagnosed with acute respiratory distress syndrome (ARDS)?

Correct Answer: C

Rationale: ARDS with severe hypoxemia typically requires mechanical ventilation to support oxygenation and ventilation. Tracheostomy is considered later. Nasal cannula is inadequate. Chest tubes are for pneumothorax, not ARDS.

Question 4 of 5

A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client?

Correct Answer: D

Rationale: Severe pain from renal colic is the priority, requiring opioid analgesics for immediate relief to improve client comfort and cooperation.

Question 5 of 5

The nurse is assessing a 60-year-old male who has hoarseness. The nurse should conduct a focused assessment to determine:

Correct Answer: D

Rationale: Hoarseness in a 60-year-old male is concerning for head and neck cancers, particularly laryngeal cancer. A focused assessment should prioritize tobacco and alcohol use, as these are major risk factors.

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