NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A client with peripheral vascular disease and chronic obstructive pulmonary disease takes theophylline (Theo-Dur) 200 mg twice daily every day. The physician is considering adding pentoxifylline (Trental) to the regimen. The nurse should be aware that:
Correct Answer: B
Rationale: Pentoxifylline may increase theophylline levels by inhibiting its metabolism, potentially leading to toxicity (e.g., nausea, tachycardia). The nurse should monitor theophylline levels and symptoms. Bleeding risk, severe hypotension, or contraindication are not documented interactions.
Question 2 of 5
The nurse is assessing a client who has had a myocardial infarction (MI). The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifi es this rhythm as which of the following?
Correct Answer: C
Rationale: PVCs are early depolarizations originating in the ventricles, and they present exactly as seen in your strip.
Question 3 of 5
Which of the following is not a risk factor for the development of atherosclerosis?
Correct Answer: B
Rationale: Late onset of puberty is not a risk factor for atherosclerosis. Family history, high cholesterol, and elevated glucose are established risk factors.
Question 4 of 5
The nurse is teaching a client about risk factors associated with atherosclerosis and how to reduce the risk. Which of the following is a risk factor that the client is not able to modify?
Correct Answer: B
Rationale: Age is a non-modifiable risk factor for atherosclerosis, as the risk increases with advancing age due to cumulative vascular changes. Diabetes, exercise level, and dietary preferences can be managed or modified to reduce risk, making age the correct answer.
Question 5 of 5
The nurse will anticipate which of the following problems that can result for the older adult undergoing abdominal surgery?
Correct Answer: C
Rationale: Older adults have slower wound healing due to reduced collagen synthesis and cellular turnover, increasing the risk of delayed recovery post-surgery.