NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Clients who have had active tuberculosis are at risk for recurrence. Which of the following conditions increases that risk?
Correct Answer: C
Rationale: Physical and emotional stress can weaken the immune system, increasing the risk of tuberculosis recurrence. Weather, exercise, and rest do not directly influence recurrence.
Question 2 of 5
When teaching a client with chronic obstructive pulmonary disease to conserve energy, the nurse should teach the client to lift the patient.
Correct Answer: B
Rationale: Lifting while exhaling through pursed lips conserves energy by aligning effort with prolonged exhalation, reducing air trapping in COPD. Other methods increase respiratory workload.
Question 3 of 5
The nurse in the perioperative area is preparing a client for surgery and notices that the client looks sad. The client says, 'I'm scared of having cancer. It's so horrible and I brought it on myself. I should have quit smoking years ago.' What would be the nurse's best response to the client?
Correct Answer: A
Rationale: Acknowledging fear and exploring specific concerns ('What is it about cancer that you're afraid of?') validates emotions and opens communication. Other responses dismiss feelings, speculate on causation, or focus on guilt, which are less therapeutic.
Question 4 of 5
A nurse should interpret which of the following as an early sign of a tension pneumothorax in a client with chest trauma?
Correct Answer: C
Rationale: Respiratory distress is an early sign of tension pneumothorax due to increasing intrathoracic pressure. Diminished breath sounds and tracheal deviation are later signs. 'Skilled heart sounds' is likely a typo and unclear.
Question 5 of 5
Which of the following interventions would be most effective in preventing the development of acute respiratory distress syndrome (ARDS)?
Correct Answer: D
Rationale: Adequate fluid replacement in hypovolemia prevents shock, a major ARDS trigger. Smoking cessation, potassium levels, and hypercapnia monitoring are less directly related to ARDS prevention.