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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

Before undergoing a transsphenoidal hypophysectomy, the client asks the nurse how the surgeon will close the incision made in the dura. The nurse should respond based on the knowledge that:

Correct Answer: C

Rationale: A fascial patch is commonly used to repair the dura during transsphenoidal hypophysectomy to prevent CSF leaks.

Question 2 of 5

The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.

Correct Answer: C,D

Rationale: Keeping the pouch on for 3-7 days and using a skin barrier are correct practices. Limiting fluids increases infection risk, aspirin is unsafe, and the last option is unclear but likely a typo for emptying when full, which is correct but not listed as such.

Question 3 of 5

A client returned home from an overseas tour of duty and tells the nurse he is always tired. He has a temperature of 99.5°F (37.5°C). His skin is dark bronze, and his urine has a dark color. His hemoglobin level is 9 g/dL; his hematocrit is 49, and red blood cells are 2.75 million/µL. What should the nurse do first?

Correct Answer: B

Rationale: The client's symptoms (fatigue, bronze skin, dark urine, low hemoglobin, and RBC count) suggest hemolytic anemia, possibly due to an infectious or toxic exposure overseas. Placing the client on bed rest is the priority to reduce oxygen demand and prevent further hemolysis while diagnostic evaluation proceeds. Intake/output monitoring, isolation, and sunlight avoidance are not immediate priorities.

Question 4 of 5

What is the purpose of sodium polystyrene sulfonate in acute renal failure?

Correct Answer: B

Rationale: Sodium polystyrene sulfonate removes potassium from the body, treating hyperkalemia.

Question 5 of 5

A client with uric acid stones is prescribed a low-purine diet. Which food is allowed?

Correct Answer: C

Rationale: Apples are low in purines, suitable for a uric acid stone diet.

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In planning care for the client who has had a stroke, the nurse should obtain a history of the client's functional status before the stroke because?
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