NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
A nurse is assessing a client with Addison's disease. The nurse should review laboratory reports for which of the following?
Correct Answer: C
Rationale: Hypoglycemia is common in Addison's disease due to cortisol deficiency, which impairs gluconeogenesis.
Question 2 of 5
A client requests a narcotic analgesic shortly after the oncoming nurse receives change-of-shift report. The nurse who is leaving reported that the client had received morphine 10 mg (IM) within the past hour. The nurse should ask the outgoing RN to do which of the following actions?
Correct Answer: A
Rationale: Validating with the outgoing RN confirms the morphine administration, ensuring safe timing of the next dose and preventing overdose.
Question 3 of 5
The nurse is a member of a team that is planning a client-centered approach to care of clients with chronic obstructive pulmonary disease (COPD) using the Chronic Care Model (CCM). The team should focus on improving quality of care and delivery in which of the following areas? Select all that apply.
Correct Answer: A,B,C
Rationale: The Chronic Care Model emphasizes community resources (
A), clinical information systems (
B), and delivery system design (
C) for chronic disease management. Administrative leadership and acute care focus are less central.
Question 4 of 5
A client who has been diagnosed with tuberculosis has been placed on drug therapy. The medication regimen includes rifampin (Rifadin). Which of the following instructions should the nurse include in the client's teaching plan related to the potential adverse effects of rifampin? Select all that apply.
Correct Answer: B,D,E
Rationale: Rifampin requires liver enzyme monitoring (
B) and alcohol avoidance (
D) due to hepatotoxicity risk. Orange urine (E) is a harmless side effect. Eye exams and reduced protein intake are not indicated.
Question 5 of 5
The client complains of aching, weakness, and a cramping sensation in both of his lower extremities while walking. The nurse knows that exercise enhances blood circulation and utilization of oxygen by the tissues. To promote health and maintain the client's level of activity, the nurse should suggest that the client try:
Correct Answer: D
Rationale: Riding a stationary bike is a low-impact exercise that promotes circulation and oxygen utilization without excessive strain, suitable for PVD clients with claudication. Skiing and jogging may exacerbate symptoms due to high intensity, and golfing involves prolonged standing, which is less beneficial.