NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
A client with terminal cancer is transitioning to hospice care. The nurse should prioritize which of the following in the care plan?
Correct Answer: A
Rationale: Aggressive pain management is the priority in hospice care to ensure comfort and quality of life for a client with terminal cancer.
Question 2 of 5
Which of the following increases the risk of having a large abdominal aortic aneurysm rupture?
Correct Answer: C
Rationale: High blood pressure increases wall stress in a large abdominal aortic aneurysm, elevating the risk of rupture per Laplace's law (wall tension ˆ pressure × radius). Anemia, dehydration, and hyperglycemia do not directly increase rupture risk.
Question 3 of 5
The client is a survivor of non-Hodgkin's lymphoma. Which of the following statements indicates the client needs additional information?
Correct Answer: B
Rationale: The survival rate for non-Hodgkin's lymphoma is inversely proportional to the incidence of second malignancies, as secondary cancers reduce survival. The statement that it is directly proportional indicates a misunderstanding. Regular screening, knowing disease stage, and treatment plans are correct.
Question 4 of 5
The nurse should teach clients that the most common route of transmitting tubercle bacilli from person to person is through contaminated:
Correct Answer: B
Rationale: Tuberculosis is primarily spread through droplet nuclei produced when an infected person coughs or sneezes. Dust, water, and utensils are not significant transmission routes.
Question 5 of 5
The nurse administers theophylline (TheoDur) to a client. To evaluate the effectiveness of this medication, which of the following drug actions should the nurse anticipate?
Correct Answer: C
Rationale: Theophylline relaxes bronchial smooth muscle, relieving bronchospasm in COPD. It does not suppress infection, reduce secretions, or thin sputum.