NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
A nurse is teaching a client with type 1 diabetes mellitus who jogs daily about the preferred sites for insulin absorption. What is the most appropriate site for a client who jogs?
Correct Answer: C
Rationale: The abdomen is the preferred insulin injection site for active individuals like joggers, as it provides consistent absorption and is less affected by exercise compared to the legs.
Question 2 of 5
The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. The nurse should notify the physician of a decrease in which lab serum that is a potential precipitating factor for hepatic encephalopathy?
Correct Answer: C
Rationale: Hypokalemia (
C) can precipitate hepatic encephalopathy by increasing ammonia production. Aldosterone (
A), creatinine (
B), and protein (
D) are less directly related.
Question 3 of 5
A client with toxic shock has been receiving ceftriaxone sodium (Rocephin), 1 g every 12 hours. In addition to culture and sensitivity studies, which other laboratory findings does the nurse monitor?
Correct Answer: A
Rationale: Ceftriaxone can cause nephrotoxicity, so the nurse should monitor serum creatinine to assess kidney function. Spinal fluid analysis, arterial blood gases, and serum osmolality are not routinely monitored for ceftriaxone therapy.
Question 4 of 5
A 17-year-old, sexually active female client is seen in the family planning clinic and requests hormonal contraceptives. Before examination, the nurse should explain the importance of regular Papanicolaou (Pap) smears. This recommendation is based on the current screening guidelines of the American Cancer Society for Pap smears, which state that:
Correct Answer: B
Rationale: American Cancer Society guidelines recommend Pap smears every 3 years after four consecutive normal annual smears for women who are sexually active or over 21. Screening does not start at age 12, and every-other-year screening is not standard.
Question 5 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.