NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
A client with Parkinson's disease needs a long time to complete her morning hygiene, but she becomes annoyed when the nurse offers assistance and refuses all help. Which action is the nurse's best initial response in this situation?
Correct Answer: B
Rationale: Praising independence and providing extra time respects the client's autonomy while supporting her efforts. Forcing help, labeling her unrealistic, or suggesting modifications may undermine her dignity.
Question 2 of 5
The client with Hodgkin's disease develops B symptoms. These manifestations indicate which of the following?
Correct Answer: C
Rationale: B symptoms in Hodgkin's disease include fever (>38°
C), night sweats, and weight loss (>10% of body weight). Night sweats are a hallmark symptom indicating possible disease progression.
Question 3 of 5
A client with acute renal failure has a low calcium level. The nurse should monitor for:
Correct Answer: A
Rationale: Low calcium can cause tetany, manifesting as muscle cramps or spasms.
Question 4 of 5
The nurse is planning care for a client with a femoral fracture who is in balanced suspension traction. Which of the following would the nurse be least likely to include in the plan of care?
Correct Answer: C
Rationale: Elevating the head of the bed beyond 25 degrees can disrupt traction alignment, making it least appropriate.
Question 5 of 5
A client receives a thrombolytic agent. The expected outcome of this drug therapy includes:
Correct Answer: C
Rationale: Thrombolytic agents (e.g., alteplase) dissolve existing clots, such as emboli in pulmonary embolism or arterial occlusion, restoring blood flow. They do not improve cerebral perfusion, decrease vascular permeability, or prevent cerebral hemorrhage (they increase bleeding risk).