NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
Cushing's disease is manifested by the excessive secretion of corticosteroids. The hormones involved are:
Correct Answer: C
Rationale: Cushing's disease involves excess glucocorticoids, aldosterone, and androgens due to adrenal hypersecretion.
Question 2 of 5
A 72-year-old client with cancer needs assistance with paying hospital bills. The nurse should refer the client to a:
Correct Answer: B
Rationale: A social worker can connect the client with financial assistance programs and resources to help manage hospital bills.
Question 3 of 5
After treatment with radioactive iodine (RAI) in the form of sodium iodide 131I, the nurse teaches the client to:
Correct Answer: C
Rationale: RAI often destroys enough thyroid tissue to cause hypothyroidism, requiring lifelong thyroxine replacement. Monitoring for hyperthyroidism is unnecessary post-treatment, and rest or assessing for hypertension/tachycardia are not primary concerns.
Question 4 of 5
Which of the following should the nurse provide as part of the information to prepare the client for tonometry?
Correct Answer: B
Rationale:
Tonometry measures intraocular pressure and is typically painless with no adverse effects, requiring no pupil dilation or pain medication.
Question 5 of 5
A client's serum ammonia level is elevated, and the physician orders 30 mL of lactulose (Cephulac). Which of the following is an adverse effect of this drug?
Correct Answer: C
Rationale: Lactulose promotes bowel movements (
C) to excrete ammonia, a common adverse effect. Urine output (
A) and consciousness (
B) are not adverse effects. Nausea (
D) is less common.