NCLEX-RN
Medical Surgical NCLEX RN 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 via blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is more relevant for hepatitis A. Single rooms (
B) are unnecessary. The vaccine (
C) is preventive but not the focus of behavioral instruction.
Question 2 of 5
When the nurse enters the client's room, the nurse perceives that the client is staring straight ahead. Which of the following is the best course of action for the nurse to take next?
Correct Answer: C
Rationale: Listening to the client and observing body language allows the nurse to assess the client's condition and needs, considering macular degeneration may cause the client to appear to stare straight ahead due to central vision loss.
Question 3 of 5
Following a thoracotomy, the client has severe pain. Which of the following strategies for pain management will be most effective for this client?
Correct Answer: D
Rationale: Readjusting pain medication dosage based on the client's condition ensures adequate pain control, critical for recovery. Repositioning, reassessing, and reassurance are supportive but less effective alone.
Question 4 of 5
Which intervention is contraindicated for a client with a seizure disorder?
Correct Answer: B
Rationale: Using a padded tongue depressor is contraindicated as it can cause injury during a seizure.
Question 5 of 5
When admitting a client with a fractured extremity, the nurse should first focus the assessment on which of the following?
Correct Answer: C
Rationale: Assessing distal to the fracture checks for neurovascular compromise, a priority to prevent complications.