NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
Following a total hip replacement, the nurse should do which of the following? Select all that apply.
Correct Answer: B,D,E
Rationale: Using a trapeze, fracture bedpan, and antiembolism stockings supports recovery and prevents complications. Prone positioning and 90-degree elevation risk dislocation.
Question 2 of 5
Bone resorption is a possible complication of Cushing's disease. Which of the following interventions should the nurse recommend to help the client prevent this complication?
Correct Answer: B
Rationale: Weight-bearing exercise promotes bone density, counteracting bone resorption caused by excess cortisol in Cushing's disease.
Question 3 of 5
A client is scheduled for a renal ultrasound. The nurse explains that:
Correct Answer: B
Rationale: Renal ultrasound is non-invasive and requires no special preparation.
Question 4 of 5
A client is to have a Schilling test. The nurse should:
Correct Answer: B
Rationale: The Schilling test assesses vitamin B12 absorption by measuring urinary excretion of radiolabeled B12. The nurse should start a 24- to 48-hour urine collection to capture the excreted B12. Methylcellulose, NPO status, and stool collection are not part of the Schilling test protocol.
Question 5 of 5
The monitor technician informs the nurse that the client has started having premature ventricular contractions every other beat. Which is the priority nursing action?
Correct Answer: B
Rationale: PVCs every other beat (bigeminy) may indicate serious irritability. Assessing orientation and vital signs first determines the client's stability, guiding further actions.