NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
A client with diverticular disease is receiving psyllium hydrophilic mucilloid (Metamucil). The drug has been effective when the client tells the nurse that he:
Correct Answer: A
Rationale: Psyllium (Metamucil) is effective when the client passes stool without cramping, indicating improved bowel regularity and reduced irritation. Absence of diarrhea, anxiety, or gas are not primary indicators of its effectiveness. CN: Pharmacological and parenteral therapies; CL: Evaluate
Question 2 of 5
Before undergoing a transsphenoidal hypophysectomy, the client asks the nurse how the surgeon will close the incision made in the dura. The nurse should respond based on the knowledge that:
Correct Answer: C
Rationale: A fascial patch is commonly used to repair the dura during transsphenoidal hypophysectomy to prevent CSF leaks.
Question 3 of 5
The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. The nurse should notify the physician of a decrease in which lab serum that is a potential precipitating factor for hepatic encephalopathy?
Correct Answer: C
Rationale: Hypokalemia (
C) can precipitate hepatic encephalopathy by increasing ammonia production. Aldosterone (
A), creatinine (
B), and protein (
D) are less directly related.
Question 4 of 5
What should the nurse monitor in a client receiving baclofen?
Correct Answer: B
Rationale: Spasticity levels are monitored to evaluate the effectiveness of baclofen in reducing muscle spasticity.
Question 5 of 5
A client receives fibrinolytic therapy upon admission following a myocardial infarction. He is now receiving an I.V. infusion of heparin sodium at 1,200 units/hour. The dilution is 25,000 units/500 mL. How many milliliters per hour will this client receive?
Correct Answer: 24 mL/hour
Rationale:
To calculate: (1,200 units/hour ÷ 25,000 units) × 500 mL = 24 mL/hour. This is a calculation question, not multiple-choice, so no choices or correct answer letter is provided.