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Med Surg RN NCLEX Practice Questions Questions

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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

When assessing a client for early septic shock, the nurse observes for which of the following?

Correct Answer: B

Rationale: Early septic shock is characterized by vasodilation and increased cardiac output, leading to warm, flushed skin. Cool, clammy skin and decreased blood pressure occur in later stages, and hemorrhage is not a feature of septic shock.

Question 3 of 5

A client with colon cancer is scheduled for chemotherapy post-resection. Which of the following should the nurse monitor for as a common side effect of chemotherapy?

Correct Answer: B

Rationale: Nausea and vomiting are common side effects of chemotherapy due to its impact on rapidly dividing cells, including those in the gastrointestinal tract. Hypertension, hyperglycemia, and joint pain are less commonly associated with chemotherapy. CN: Pharmacological and parenteral therapies; CL: Analyze

Question 4 of 5

The client who has been hospitalized with pancreatitis does not drink alcohol because of her religious convictions. She becomes upset when the physician persists in asking her about alcohol intake. The nurse should explain that the reason for these questions is that:

Correct Answer: A

Rationale: Alcohol is a leading cause of acute pancreatitis, so the physician's questions are relevant to determine etiology (
A). Options B, C, and D are inaccurate or dismissive of the client's concerns.

Question 5 of 5

After instructing a client with diverticulosis about appropriate self-care activities, which of the following client comments indicate effective teaching? Select all that apply.

Correct Answer: C,D,E

Rationale: Effective teaching is indicated by the client understanding the need for a high-fiber diet (
C), adequate fluid intake (
D), and regular exercise (E) to manage diverticulosis. Diverticulosis cannot be cured (
A), and cathartic laxatives (
B) are not recommended as they can irritate the bowel. CN: Health promotion and maintenance; CL: Evaluate

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