NCLEX-RN
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.