NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
A confused client with carbon monoxide poisoning experiences dizziness when ambulating to the bathroom. The nurse should:
Correct Answer: D
Rationale: Regular checks ensure safety and assist with bathroom needs, addressing dizziness and confusion. Side rails and restraints risk injury or agitation. Relying on a roommate is unreliable.
Question 2 of 5
A client tells the nurse his vision is blurred and hazy throughout the entire day. The nurse should recommend that the client do which of the following?
Correct Answer: D
Rationale: An ophthalmologist is a physician who specializes in the treatment of disorders of the eye, and the nurse should advise the client to see a physician. An optician makes glasses, and it is not known at this point what the best treatment for the client is. Magnifying glasses or tinted lenses do not correct hazy or blurred vision.
Question 3 of 5
The client's serum potassium level is elevated in acute renal failure, and the nurse administers sodium polystyrene sulfonate (Kayexalate). This drug acts to:
Correct Answer: D
Rationale: Kayexalate exchanges sodium for potassium in the colon, reducing serum potassium levels in acute renal failure.
Question 4 of 5
A client has a positive reaction to the Mantoux test. The nurse correctly interprets this reaction to mean that the client has:
Correct Answer: B
Rationale: A positive Mantoux test indicates exposure to Mycobacterium tuberculosis, not necessarily active disease. It does not imply resistance or passive immunity.
Question 5 of 5
A client who was in a motor vehicle accident has a fractured mandible. Surgery has been performed to immobilize the injury by wiring the jaw. In the immediate postoperative phase, the nurse should:
Correct Answer: B
Rationale: Maintaining a patent airway is the priority in the immediate postoperative phase for a client with a wired jaw, as swelling or secretions could obstruct the airway. While the other interventions are important, airway management is the most critical.