NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Cortisone acetate (Cortone) and fludrocortisone acetate (Florinef Acetate) are prescribed as replacement therapy for a client with Addison's disease. What administration schedule should be followed for this therapy?
Correct Answer: C
Rationale: Mimicking diurnal cortisol patterns, most cortisone and all fludrocortisone are taken in the morning, with the remaining cortisone in the afternoon.
Question 2 of 5
The client is scheduled for a percutaneous transluminal coronary angioplasty (PTCA) to treat angina. Priority goals for the client immediately after PTCA should include:
Correct Answer: B
Rationale: Maintaining adequate blood pressure post-PTCA ensures coronary perfusion and prevents complications like stent thrombosis or ischemia.
Question 3 of 5
Which activity would be appropriate to delegate to unlicensed personnel for a client diagnosed with a myocardial infarction who is stable?
Correct Answer: D
Rationale: Recording intake and output is within the scope of unlicensed personnel, as it involves observation and documentation, not assessment or teaching.
Question 4 of 5
The nurse is planning care for an 80-year-old client with a pressure ulcer (see figure). The nurse should do which of the following? Select all that apply.
Correct Answer: C,D,E
Rationale: Protective dressings, frequent repositioning, and pressure-relieving mattresses promote healing and prevent worsening of pressure ulcers. High head elevation increases shear, and daily cultures are unnecessary unless infection is suspected.
Question 5 of 5
A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so hyperkalemia (
B) is a key adverse effect. Constipation (
A), irregular pulse (
C), and dysuria (
D) are not typical.