NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:
Correct Answer: D
Rationale: Hepatitis B is transmitted through blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is relevant for hepatitis A, single rooms (
B) are unnecessary, and while vaccination (
C) is important, the question focuses on behavioral instruction.
Question 2 of 5
A client with bacterial pneumonia is to be started on I.V. antibiotics. Which of the following diagnostic tests must be completed before antibiotic therapy begins?
Correct Answer: B
Rationale: A sputum culture identifies the causative organism and its antibiotic sensitivity, guiding effective therapy. Urinalysis, chest radiographs, and red blood cell counts provide supportive data but are not required before starting antibiotics.
Question 3 of 5
The client tells the nurse that since his diagnosis of stomach cancer, he has been having trouble sleeping and is frequently preoccupied with thoughts about how his life will change. He says, 'I wish my life could stay the same.' Based on this information, which one of the following nursing diagnoses would be appropriate at this time?
Correct Answer: C
Rationale: The client's statement and symptoms suggest grieving related to the life-altering diagnosis of stomach cancer. This diagnosis best captures the emotional response to the anticipated changes.
Question 4 of 5
When instructing a client who has been newly diagnosed with vasospastic disorder (Raynaud's phenomenon) about management of care, the nurse should discuss which of the following topics?
Correct Answer: C
Rationale: Raynaud's phenomenon is often associated with connective tissue diseases (e.g., scleroderma, lupus), especially secondary Raynaud's. Discussing follow-up monitoring for these conditions is essential for early detection and management. Sympathectomy, beta blockers, and angioplasty are not first-line or relevant interventions.
Question 5 of 5
The physician ordered I.V. naloxone (Narcan) to reverse the respiratory depression from morphine administration. After administration of the naloxone the nurse should:
Correct Answer: C
Rationale: Naloxone has a shorter half-life than morphine, so respiratory depression may recur. Frequent monitoring for 4-6 hours ensures timely detection and additional doses if needed.