NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A client with thyrotoxicosis says to the nurse, 'I am so irritable. I am having problems at work because I lose my temper very easily.' Which of the following responses by the nurse would give the client the most accurate explanation of her behavior?
Correct Answer: B
Rationale: Thyrotoxicosis, due to excess thyroid hormone, increases metabolism and can affect the nervous system, leading to irritability and emotional lability. This explains the client's behavior as a direct result of the disease's impact on thyroid function.
Question 2 of 5
Crackles heard on lung auscultation indicate which of the following?
Correct Answer: D
Rationale: Crackles indicate fluid in the alveoli, often due to pulmonary edema in heart failure or post-MI, reflecting left ventricular dysfunction.
Question 3 of 5
Which of the following signs and symptoms are common in male clients with prolactin-secreting tumors?
Correct Answer: B
Rationale: Prolactin-secreting tumors in males often cause erectile dysfunction and decreased libido due to suppression of testosterone.
Question 4 of 5
A client post-appendectomy reports shoulder pain on the second postoperative day. The nurse should suspect which complication?
Correct Answer: B
Rationale: Shoulder pain post-appendectomy may indicate a subdiaphragmatic abscess due to referred pain from diaphragmatic irritation. Pneumonia, thrombosis, and wound infection typically present with other symptoms. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
A client was admitted to the hospital with iron deficiency anemia and blood-streaked emesis. Which question is most appropriate for the nurse to ask in determining the extent of the client's activity intolerance?
Correct Answer: A
Rationale:
To assess activity intolerance, the nurse should compare the client's current activity level with their previous capabilities. Asking about specific activities performed 6 months ago versus now provides concrete data on the extent of intolerance. The other questions are less specific and do not directly quantify changes in activity capacity.