NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
After pituitary surgery, the nurse should assess the client for which of the following?
Correct Answer: A
Rationale: Low urine specific gravity (<1.010) may indicate diabetes insipidus, a common complication post-pituitary surgery due to reduced vasopressin.
Question 2 of 5
The client asks the nurse what his activity limitations are while he is in Buck's traction. The nurse should tell the client:
Correct Answer: B
Rationale: Buck's traction requires lying flat to maintain traction alignment, limiting movement.
Question 3 of 5
A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be:
Correct Answer: B
Rationale: Nausea, tingling, and dyspnea during an arteriogram suggest a possible allergic reaction to the contrast dye or other complications (e.g., vasovagal response). The nurse should immediately inform the physician to evaluate and manage the situation. Administering epinephrine or oxygen requires a physician's order, and reassuring the client is inappropriate until the issue is addressed.
Question 4 of 5
The nurse should remind family members who are visiting a client with granulocytopenia to:
Correct Answer: B
Rationale: Hand washing is the most effective way to prevent transmission of pathogens to a granulocytopenic client, who is at high risk for infection. While avoiding colds, leaving children at home, and avoiding kissing are helpful, hand washing is the priority.
Question 5 of 5
The nurse is instructing a client with COPD how to do pursed-lip breathing. In which order should the nurse explain the steps to the client?
Order the Items
Source Container
Correct Answer: B,A,C,D
Rationale: The correct order for pursed-lip breathing is: relax muscles (
B), inhale through nose for 2 counts (
A), pucker lips (
C), exhale through pursed lips for 4 counts (
D). This prolongs exhalation, reducing air trapping.