Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Med Surg RN NCLEX Practice Questions Questions

Extract:


Question 1 of 5

A client with peripheral vascular disease returns to the surgical care unit after having femoral-popliteal bypass grafting. Indicate in which order the nurse should conduct assessment of this client.

Correct Answer: B,A,C,D

Rationale: The correct order is: 1) Peripheral pulses (to confirm graft patency and limb perfusion, the highest priority); 2) Postoperative pain (to assess comfort and detect complications); 3) Urine output (to monitor renal perfusion and fluid status); 4) Incision site (to check for infection or bleeding, less urgent). This prioritizes circulation and vital organ function.

Question 2 of 5

A nurse teaches a client experiencing heartburn to take 1 ½ oz of Maalox when symptoms appear. How many milliliters should the client take?

Correct Answer: 45 mL

Rationale:
To convert ounces to milliliters: 1.5 oz × 30 mL/oz = 45 mL. The client should take 45 milliliters of Maalox.

Question 3 of 5

Which intervention supports a client with expressive aphasia?

Correct Answer: C

Rationale: A communication board supports communication for clients with expressive aphasia.

Question 4 of 5

The nurse is assessing a client with chronic myeloid leukemia (CML). The nurse should assess the client for:

Correct Answer: D

Rationale: CML causes an overproduction of white blood cells, leading to symptoms like fatigue, splen enlarge, and shortness of breath due to anemia or hyperviscosity. Shortness of breath is a common finding to assess. Lymphadenopathy, gum hyperplasia, and marrow expansion are less typical.

Question 5 of 5

What is a goal of care for a client with acute renal failure?

Correct Answer: A

Rationale: Maintaining adequate urine output indicates improving renal function.

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