NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
After surgery and insertion of a total joint prosthesis, a client develops severe sudden pain and an inability to move the extremity. The nurse correctly interprets these findings as indicating which of the following?
Correct Answer: C
Rationale: Sudden pain and inability to move suggest joint dislocation, a surgical emergency.
Question 2 of 5
The nurse monitors a client with cirrhosis for the development of hepatic encephalopathy. Which of the following would be an indication that hepatic encephalopathy is developing?
Correct Answer: A
Rationale: Hepatic encephalopathy causes decreased mental status (
A) due to ammonia buildup. Elevated blood pressure (
B), decreased urine output (
C), and labored respirations (
D) are not primary indicators.
Question 3 of 5
The nurse notes that the daily white blood cell (WBC) count in a client with aplastic anemia has dropped overnight from 3,900 to 2,900/µL. Which is the appropriate nursing intervention?
Correct Answer: D
Rationale: A significant drop in WBC count (3,900 to 2,900/µL) in aplastic anemia indicates worsening neutropenia, increasing infection risk. The nurse should notify the physician and place the client in reverse isolation to protect against infections. Monitoring, verifying, or documenting alone are insufficient given the urgency.
Question 4 of 5
A client with osteoarthritis will undergo an arthrocentesis on his painful edematous knee. What should be included in the nursing plan of care? Select all that apply.
Correct Answer: A,D,E
Rationale: Explaining the procedure You are missing 30 questions, assessing for bleeding, and offering pain medication are key. Arthrocentesis is a minor procedure, not surgery, and immobilization for 2 days is not typically required.
Question 5 of 5
The nurse is checking the laboratory results on a 52-year-old client with type 1 diabetes (see chart). What laboratory result indicates a problem that should be managed?
Correct Answer: A
Rationale: Elevated blood glucose in type 1 diabetes indicates poor glycemic control, requiring immediate management to prevent complications like ketoacidosis.