NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
An explosion at a chemical plant produces flames and smoke. More than 20 persons have burn injuries. Which victims should be transported to a burn center? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Victims with chemical burns, third-degree burns, respiratory distress, or smoke inhalation require specialized care at a burn center due to the severity and potential complications of these injuries.
Question 2 of 5
Good dental care is an important measure in reducing the risk of endocarditis. A teaching plan to promote good dental care in a client with mitral stenosis should include demonstration of the proper use of:
Correct Answer: D
Rationale: Dental floss removes plaque and debris, reducing the risk of oral infections that could lead to endocarditis in mitral stenosis.
Question 3 of 5
If a client displays risk factors for coronary artery disease, such as smoking cigarettes, eating a diet high in saturated fat, or leading a sedentary lifestyle, techniques of behavior modification may be used to help the client change the behavior. The nurse can best reinforce new adaptive behaviors by:
Correct Answer: C
Rationale: Positive reinforcement, such as rewarding adaptive behaviors, encourages the client to continue healthy habits. Fear or delayed praise is less effective for behavior modification.
Question 4 of 5
What is the purpose of straining urine in a client with renal calculi?
Correct Answer: B
Rationale: Straining urine captures stones for analysis to determine composition.
Question 5 of 5
The nurse is preparing a client for a paracentesis. The nurse should:
Correct Answer: A
Rationale: Voiding before paracentesis (
A) prevents bladder injury during the procedure. Side-lying (
B) is incorrect; upright is preferred. IV sedatives (
C) are not routine, and NPO status (
D) is unnecessary.