NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Following a total hip replacement, the nurse should position the client in which of the following ways?
Correct Answer: D
Rationale: Slight abduction prevents dislocation by maintaining proper hip alignment.
Question 2 of 5
The nurse is checking the laboratory results of a 52-year-old client with colon cancer admitted for further chemotherapy. The client has lost 30 lb (13.6 kg) since initiation of the treatment. Which laboratory result should be reported to the health care provider?
Correct Answer: D
Rationale: A low albumin level (2.8 g/dL) indicates malnutrition, which is concerning given the client's significant weight loss and needs to be reported for nutritional intervention.
Question 3 of 5
A client's bone marrow report reveals normal stem cells and precursors of platelets (megakaryocytes) in the presence of decreased circulating platelets. The nurse recognizes a knowledge deficit when the client makes which of the following statements?
Correct Answer: B
Rationale: Normal stem cells and megakaryocytes with decreased circulating platelets suggest a peripheral destruction issue, such as ITP, not a bone marrow production problem. The client's statement that the report is 'normal' indicates a misunderstanding, as the low platelet count is abnormal and requires management. The other statements reflect appropriate awareness of bleeding risks.
Question 4 of 5
The nurse is teaching a client with osteoporosis about fall prevention. Which of the following should be included? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Removing rugs, installing grab bars, ensuring lighting, and exercising prevent falls. High-heeled shoes increase fall risk.
Question 5 of 5
A 92-year-old male client who is independent and lives alone has an inguinal hernia repair. Which teaching method is the best approach to use for his postoperative and discharge instructions?
Correct Answer: C
Rationale: Demonstration and return demonstration is the most effective for an elderly client, as it ensures understanding and ability to perform postoperative care tasks, accommodating potential sensory or cognitive limitations.