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Free NCLEX RN Questions for Med Surg Questions

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Question 1 of 5

After a subtotal gastrectomy, care of the client's nasogastric (NG) tube and drainage system should include which of the following nursing interventions?

Correct Answer: C

Rationale: Monitoring for nausea, vomiting, and abdominal distention is essential to detect complications such as obstruction or ileus. Routine irrigation, repositioning, or increasing suction without medical orders is unsafe.

Question 2 of 5

Which teaching point is critical for a client with a new diagnosis of epilepsy?

Correct Answer: A

Rationale: Avoiding driving until seizures are controlled is critical for safety in epilepsy management.

Question 3 of 5

A client who had an exploratory laparotomy 3 days ago has a white blood cell (WBC) differential with a shift to the left. The nurse instructs unlicensed personnel to report which clinical manifestation?

Correct Answer: C

Rationale: A left shift in the WBC differential indicates an increase in immature neutrophils, often due to infection. An elevated temperature is a key sign of infection and should be reported promptly. Swelling, redness, and purulent drainage are also concerning but may develop later.

Question 4 of 5

A client with acute renal failure reports shortness of breath. The nurse should:

Correct Answer: C

Rationale: Shortness of breath may indicate fluid overload; lung sounds assess for pulmonary edema.

Question 5 of 5

Which of the following should the nurse provide as part of the information to prepare the client for tonometry?

Correct Answer: B

Rationale:
Tonometry measures intraocular pressure and is typically painless with no adverse effects, requiring no pupil dilation or pain medication.

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The nurse in the postanesthesia care unit notes that one of the client's pupils is larger than the other. The nurse should:
A pulmonary artery catheter is inserted in a client with severe mitral stenosis and regurgitation. The nurse administers furosemide (Lasix) to treat pulmonary congestion and begins a Nitroprusside (Nipride) drip for afterload reduction per physician orders. The nurse notices a sudden drop in the pulmonary artery diastolic pressure and pulmonary artery wedge pressure. Which of the following has the highest priority?
A female client diagnosed with lung cancer is to have a left lower lobectomy. Which of the following increase the client's risk of developing postoperative pulmonary complications?
A client with pneumonia has a temperature of 102.6°F (39.2°C), is diaphoretic, and has a productive cough. The nurse should include which of the following measures in the plan of care?

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