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Medical Surgical NCLEX RN Questions

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Question 1 of 5

A client with lung cancer is being cared for by his wife at home. His pain is increasing in severity. The nurse recognizes that teaching has been effective when the wife does which of the following? Select all that apply.

Correct Answer: A,B,D,F

Rationale: Effective pain management includes around-the-clock long-acting opioids (
A), immediate-release opioids for breakthrough pain (
B), non-pharmacologic methods like music or heat/cold (
D), and using a pain scale to assess effectiveness (F). Avoiding long-acting opioids (
C) or substituting acetaminophen (E) is not appropriate for severe cancer pain.

Question 2 of 5

Which of the following interventions will be most effective in improving transcultural communications with the client?

Correct Answer: C

Rationale: Establishing rapport and listening to concerns fosters trust and understanding, which are essential for effective transcultural communication.

Question 3 of 5

Which of the following will the nurse observe in the ictal phase of a generalized tonic-clonic seizure?

Correct Answer: D

Rationale: The ictal phase of a generalized tonic-clonic seizure is characterized by loss of consciousness, body stiffening (tonic phase), and violent muscle contractions (clonic phase). The other options describe focal or absence seizures.

Question 4 of 5

The incidence and risk of cancer increase when smoking is combined with:

Correct Answer: A

Rationale: Smoking combined with asbestos exposure and alcohol consumption significantly increases cancer risk, particularly for lung and head/neck cancers, due to synergistic carcinogenic effects.

Question 5 of 5

Cortisone acetate (Cortone) and fludrocortisone acetate (Florinef Acetate) are prescribed as replacement therapy for a client with Addison's disease. What administration schedule should be followed for this therapy?

Correct Answer: C

Rationale: Mimicking diurnal cortisol patterns, most cortisone and all fludrocortisone are taken in the morning, with the remaining cortisone in the afternoon.

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