Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Med Surg RN NCLEX Practice Questions Questions

Extract:


Question 1 of 5

A priority goal for the hospitalized client who 2 days earlier had a total laryngectomy with creation of a new tracheostomy would be to:

Correct Answer: D

Rationale: Maintaining a patent airway is the priority goal post-laryngectomy with a new tracheostomy to ensure adequate oxygenation and prevent respiratory distress.

Question 2 of 5

A client is admitted to the emergency department with a full thickness burn to his right arm. Upon assessment, the arm is edema, the agent is mottled, and radial pulse is now absent. The client states that the pain is 8 on a scale of 1 to 10 . The nurse should:

Correct Answer: B

Rationale: The absence of the radial pulse indicates potential compartment syndrome or vascular compromise, which is a medical emergency requiring immediate physician notification to prevent tissue necrosis.

Question 3 of 5

A client with osteoarthritis asks about dietary changes to manage symptoms. Which recommendation is most appropriate?

Correct Answer: B

Rationale: Omega-3 fatty acids have anti-inflammatory properties, helping manage osteoarthritis symptoms.

Question 4 of 5

A client is to receive glargine (Lantus) insulin in addition to a dose of aspart (NovoLog). When the nurse checks the blood glucose level at the bedside, it is greater than 200 mg/dL. How should the nurse administer the insulins?

Correct Answer: D

Rationale: Glargine and aspart insulins cannot be mixed. They should be drawn up in separate syringes to maintain their distinct actions (long-acting vs. rapid-acting). Shaking or rolling is inappropriate for glargine, which is clear.

Question 5 of 5

The nurse is planning care for a client with a fractured humerus in a sling. Which intervention should be included?

Correct Answer: A

Rationale: Shoulder shrugging exercises maintain mobility and prevent stiffness without stressing the fracture.

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