NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
A female client diagnosed with lung cancer is to have a left lower lobectomy. Which of the following increase the client's risk of developing postoperative pulmonary complications?
Correct Answer: A
Rationale: Low body weight (5'7€, 110 lb) indicates malnutrition, increasing the risk of postoperative pulmonary complications due to weakened respiratory muscles. Emotional suppression, good exercise tolerance, and age 58 are less directly related.
Question 2 of 5
Which of the following should be readily available at the bedside of a client with a chest tube in place?
Correct Answer: C
Rationale: A bottle of sterile water is needed to restore the water seal if the chamber is compromised. Tracheostomy trays, extra chest tubes, and spirometers are not immediately necessary.
Question 3 of 5
A client with acute respiratory distress syndrome (ARDS) has fine crackles at lung bases and the respirations are shallow at a rate of 28 breaths/minute. The client is restless and anxious. In addition to monitoring the arterial blood gas results, the nurse should do which of the following? Select all that apply.
Correct Answer: C,D
Rationale: Administering humidified oxygen (
C) improves oxygenation in ARDS. Auscultating lungs (
D) monitors crackles and ventilation. Creatinine/BUN monitoring is unrelated to acute respiratory status. Sedatives may depress respiration.
Question 4 of 5
The nurse should place a client being admitted to the hospital with suspected tuberculosis on what type of isolation?
Correct Answer: D
Rationale: Tuberculosis requires airborne precautions due to droplet nuclei transmission. Standard, contact, and droplet precautions are insufficient.
Question 5 of 5
A client who has had her jaws wired begins to vomit. What should be the nurse's first action?
Correct Answer: C
Rationale: Suctioning the airway is the first action to prevent aspiration in a client with wired jaws who is vomiting. Cutting the wires is a last resort, and the other options do not address the immediate risk of airway obstruction.