NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to:
Correct Answer: B
Rationale: Corns should be professionally removed by a physician or podiatrist to avoid injury or infection, especially in diabetic clients with poor healing.
Question 2 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 3 of 5
The nurse is caring for a client with a femoral fracture in traction. Which observation indicates a potential complication?
Correct Answer: C
Rationale: A pale, cool foot suggests impaired circulation, a serious complication requiring immediate attention.
Question 4 of 5
For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication?
Correct Answer: B
Rationale: A picture board is most helpful for expressive aphasia, allowing the client to point to images to communicate needs. Speaking loudly, writing directions, or short sentences are less effective for clients unable to verbalize.
Question 5 of 5
Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.