Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Med Surg RN NCLEX Questions Questions

Extract:


Question 1 of 5

A male client underwent a spinal fusion yesterday. Which of the following nursing assessments should alert the nurse to the development of a possible complication?

Correct Answer: B

Rationale: Clear yellowish fluid suggests a cerebrospinal fluid leak, a serious complication requiring immediate attention.

Question 2 of 5

A nurse receives the taped change-of-shift report for assigned clients and prioritizes client rounds. In what order should the nurse assess these clients?

Order the Items

Source Container

A client with an endotracheal tube transferred out of the intensive care unit that day.
A client with type 2 diabetes who had a cerebrovascular accident 4 days ago.
A client with cellulitis of the left lower extremity with a fever of 100.8°F (38.2°C).
A client receiving D5W I.V. at 125 mL/hour with 75 mL remaining.

Correct Answer: A,C,B,D

Rationale: The client with a new endotracheal tube (
A) is highest priority due to airway risk. The febrile client with cellulitis (
C) is next for infection monitoring. The stroke client (
B) is stable 4 days post-event. The I.V. fluid client (
D) is lowest priority.

Question 3 of 5

In which areas of the United States is the incidence of tuberculosis highest?

Correct Answer: B

Rationale: Inner-city areas have higher tuberculosis incidence due to crowding, poverty, and limited healthcare access. Rural, low-water-standard, and suburban areas have lower rates.

Question 4 of 5

What is the purpose of sodium polystyrene sulfonate in acute renal failure?

Correct Answer: B

Rationale: Sodium polystyrene sulfonate removes potassium from the body, treating hyperkalemia.

Question 5 of 5

The nurse is conducting discharge education with a client newly diagnosed with Addison's disease. Which information should be included in the client and family teaching plan? Select all that apply.

Correct Answer: B,C,D,E,F

Rationale: Addison's is chronic, requiring lifelong management. Stress management, symptom reporting, medical ID, family education, and medication adjustments for procedures are critical.

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