NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been admitted with a diagnosis of an obstruction in the small intestine. The nurse should assess the client for? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Small intestinal obstruction can cause projectile vomiting (
A), abdominal distention (
B), rapid dehydration (
D) due to fluid loss, and increased bowel sounds (E) proximal to the obstruction. Copious diarrhea (
C) is less likely as stool passage is blocked. CN: Physiological adaptation; CL: Analyze
Question 2 of 5
The nurse's discharge teaching plan for the client with heart failure should stress the importance of which of the following?
Correct Answer: C
Rationale: Daily weights at the same time detect fluid retention early, a key strategy to prevent heart failure exacerbations.
Question 3 of 5
An African-American woman had experienced severe palpitations, weakness, and shortness of breath after taking bacitracin (Bactrim). As a part of the discharge planning, the nurse should evaluate the client's knowledge about:
Correct Answer: B
Rationale: Bactrim (sulfamethoxazole/trimethoprim) can cause hemolytic anemia in individuals with glucose-6-phosphate dehydrogenase (G6P
D) deficiency, a congenital enzyme deficiency common in African-American populations. The nurse should assess the client's understanding of G6PD deficiency and how to avoid triggers like certain medications. Folic acid, activity restrictions, and transfusions are not directly related.
Question 4 of 5
What is the priority nursing action for a client with a suspected brain tumor?
Correct Answer: B
Rationale: Monitoring neurological status is the priority to detect changes associated with a brain tumor.
Question 5 of 5
The nurse is teaching a client about risk factors associated with atherosclerosis and how to reduce the risk. Which of the following is a risk factor that the client is not able to modify?
Correct Answer: B
Rationale: Age is a non-modifiable risk factor for atherosclerosis, as the risk increases with advancing age due to cumulative vascular changes. Diabetes, exercise level, and dietary preferences can be managed or modified to reduce risk, making age the correct answer.