NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
Correct Answer: C
Rationale: RAI often destroys enough thyroid tissue to cause hypothyroidism, requiring lifelong thyroxine replacement. Monitoring for hyperthyroidism is unnecessary post-treatment, and rest or assessing for hypertension/tachycardia are not primary concerns.
Question 2 of 5
While talking to her husband, who is caring for their children, a 52-year-old client slams the phone down. She begins to cry and states that she is feeling guilty for being hospitalized. Which of the following interventions will best support the client emotionally?
Correct Answer: C
Rationale: Sitting with the client and helping her discuss her feelings validates her emotions and supports her in processing guilt, providing emotional relief.
Question 3 of 5
When the nurse is conducting a preoperative interview with a client who is having a vaginal hysterectomy, the client states that she forgot to tell her doctor that she had a total hip replacement 3 years ago. The nurse communicates this information to the perioperative nurse because:
Correct Answer: A
Rationale: A hip prosthesis can conduct electricity from an electrosurgical unit, risking burns or complications. Communicating this ensures precautions are taken during surgery.
Question 4 of 5
Which of the following expected outcomes would be appropriate for a client with viral hepatitis? The client will:
Correct Answer: B
Rationale: Reporting bleeding (
B) indicates awareness of complications like coagulopathy. Ascites (
A) is more relevant to cirrhosis. Alcohol (
C) should be avoided entirely. Restricting activity to home (
D) is unnecessary for hepatitis B or C.
Question 5 of 5
The nurse anticipates that the client who has received epidural anesthesia is at decreased risk for a spinal headache because:
Correct Answer: C
Rationale: Epidural anesthesia uses a noncutting needle, reducing dural puncture risk and thus lowering the incidence of spinal headache compared to spinal anesthesia.