NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
A high-carbohydrate, low-protein diet is prescribed for the client with acute renal failure. The intended outcome of this diet is to:
Correct Answer: D
Rationale: A high-carbohydrate, low-protein diet provides energy and prevents ketosis by reducing protein breakdown in acute renal failure.
Question 2 of 5
In the acute phase of burn injury, which pain medication would most likely be given to the client to decrease the perception of the pain?
Correct Answer: B
Rationale: Intravenous opioids are preferred in the acute phase for rapid, effective pain relief due to severe burn pain and potential impaired oral absorption.
Question 3 of 5
A client who is scheduled for an open cholecystectomy has a 20-pack-year history of smoking. For which postoperative complication is the client most at risk?
Correct Answer: B
Rationale: Smoking impairs lung function and ciliary clearance, increasing the risk of atelectasis and pneumonia post-surgery due to reduced lung expansion and mucus clearance.
Question 4 of 5
The client in balanced suspension traction is transported to surgery for closed reduction and internal fixation of his fractured femur. Which of the following should the nurse do when transporting the client to the operating room?
Correct Answer: C
Rationale: Transporting on the bed with extra help maintains traction stability, preventing fracture displacement.
Question 5 of 5
A client has been in the position shown in the figure for surgery. The nurse should document that the client has been in which of the following positions?
Correct Answer: C
Rationale: The client is in the lithotomy position. The reverse Trendelenburg position is when the client is lying supine with the head lower than the rest of the body. A low Fowler’s position is when the client is sitting up at a 30- to 45-degree angle. The prone position is when the client is lying face down.