NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Because a client's renal stone was found to be composed of uric acid, a low-purine, alkaline-ash diet was ordered. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications?
Correct Answer: A
Rationale: Milk, apples, tomatoes, and corn are low-purine and promote an alkaline-ash diet, suitable for uric acid stone prevention.
Question 2 of 5
The nurse teaches the client with an ileal conduit measures to prevent a urinary loss. Which of the following measures would be most effective?
Correct Answer: B
Rationale: Maintaining high fluid intake (2,000-3,000 mL) prevents urinary stasis and infection, the most effective measure for reducing urinary loss risk.
Question 3 of 5
The incidence and risk of cancer increase when smoking is combined with:
Correct Answer: A
Rationale: Smoking combined with asbestos exposure and alcohol consumption significantly increases cancer risk, particularly for lung and head/neck cancers, due to synergistic carcinogenic effects.
Question 4 of 5
The client asks the nurse what his activity limitations are while he is in Buck's traction. The nurse should tell the client:
Correct Answer: B
Rationale: Buck's traction requires lying flat to maintain traction alignment, limiting movement.
Question 5 of 5
For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication?
Correct Answer: B
Rationale: A picture board is most helpful for expressive aphasia, allowing the client to point to images to communicate needs. Speaking loudly, writing directions, or short sentences are less effective for clients unable to verbalize.