NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
A postmenopausal client is scheduled for a bone-density scan. To plan for the client's test, what should the nurse communicate to the client?
Correct Answer: A
Rationale: Metal objects can interfere with the bone-density scan, so they must be removed. Calcium intake or pain reporting is not required for the test.
Question 2 of 5
Assessment of the diabetic client for common complications should include examination of the:
Correct Answer: D
Rationale: Diabetic retinopathy, a common complication, requires regular eye examinations to detect and prevent vision loss.
Question 3 of 5
A nurse is providing postmortem care for a client who has died of cancer. The most appropriate action is to:
Correct Answer: C
Rationale: Bathing and positioning the body respectfully prepares it for family viewing and honors the deceased, aligning with postmortem care standards.
Question 4 of 5
After a laminectomy, the client states, 'The physician said that I can do anything I want to.' Which of the following client-stated activities indicates the need for further teaching?
Correct Answer: D
Rationale: Sweeping involves twisting and bending, which can strain the surgical site post-laminectomy.
Question 5 of 5
A client with advanced ovarian cancer takes 150 mg of long-acting morphine orally every 12 hours for abdominal pain. When the client develops a small bowel obstruction, the physician discontinues the oral morphine and begins morphine 6 mg/hour I.V. After calculating the equianalgesic conversion from oral to intravenous morphine, the nurse should:
Correct Answer: B
Rationale: The equianalgesic conversion from 150 mg oral morphine every 12 hours (300 mg/day oral) to I.V. morphine (1:3 ratio) is approximately 100 mg/day I.V., or 4.2 mg/hour. The ordered 6 mg/hour is too high, and the nurse should contact the physician to adjust the dose.