Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Questions for Med Surg Questions

Extract:


Question 1 of 5

Assessment of the diabetic client for common complications should include examination of the:

Correct Answer: D

Rationale: Diabetic retinopathy, a common complication, requires regular eye examinations to detect and prevent vision loss.

Question 2 of 5

The nurse in the preoperative holding area keeps a client with gastric bleeding in a dimly lit environment with one family member present. What is the primary rationale for these nursing interventions?

Correct Answer: B

Rationale: A dimly lit environment and limited visitors reduce stimulation, minimizing oxygen consumption in a client with gastric bleeding, who may be hypoxic due to anemia. Comfort is secondary, and these measures do not directly stabilize fluids or prevent infection.

Question 3 of 5

An older adult client in stage 2 of Parkinson's disease is being discharged with cellulitis of the right lower extremity. Which of the following nursing diagnoses will guide the discharge teaching? Select all that apply.

Correct Answer: B,C

Rationale: Cellulitis causes impaired skin integrity due to infection and inflammation. Parkinson's increases fall risk, supporting risk for injury. Other options are less directly related.

Question 4 of 5

A client post-inguinal herniorrhaphy reports scrotal swelling 24 hours after surgery. Which action should the nurse take first?

Correct Answer: C

Rationale: Elevating the scrotum and applying ice is the first action to reduce scrotal swelling post-inguinal herniorrhaphy, a common postoperative finding. Warm compresses may worsen swelling, notification is needed if swelling persists, and diuretics are not indicated. CN: Physiological adaptation; CL: Synthesize

Question 5 of 5

The nurse should caution sexually active female clients taking isoniazid (INH) that the drug has which of the following effects?

Correct Answer: C

Rationale: Isoniazid induces liver enzymes, potentially reducing the effectiveness of hormonal contraceptives. It does not increase vaginal infection risk, affect ova, or inhibit ovulation.

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