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NCLEX RN Medical Surgical Questions and Answers Questions

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Question 1 of 5

A client with uric acid stones is prescribed a low-purine diet. Which food is allowed?

Correct Answer: C

Rationale: Apples are low in purines, suitable for a uric acid stone diet.

Question 2 of 5

A client with impaired cardiac functioning is at risk during anesthesia induction with thiopental sodium (Sodium Pentothal) because this drug causes:

Correct Answer: C

Rationale: Thiopental can cause hypotension, which is particularly risky in clients with impaired cardiac function, as it may exacerbate cardiovascular instability during induction.

Question 3 of 5

A female client who has a urinary diversion tells the nurse, 'This urinary pouch is embarrassing. Everyone will know that I'm not normal. I don't see how I can go out in public anymore.' The most appropriate nursing diagnosis for this client is:

Correct Answer: D

Rationale: The client's statement reflects distress about the urinary diversion's impact on her appearance and social life, indicating a disturbed body image.

Question 4 of 5

The nurse is teaching a 17-year-old client and the client's family about what to expect with high-dose chemotherapy. Which of the following side effects should be included in the teaching plan?

Correct Answer: A

Rationale: Fever is a common side effect of high-dose chemotherapy due to neutropenia and increased infection risk, and should be included in the teaching plan.

Question 5 of 5

The nurse is preparing a client for a paracentesis. The nurse should:

Correct Answer: A

Rationale: Voiding before paracentesis (
A) prevents bladder injury. Side-lying (
B) is incorrect; upright is preferred. IV sedatives (
C) are not routine, and NPO (
D) is unnecessary.

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