NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
If a client is receiving rescue breaths and the chest wall fails to rise during cardiopulmonary resuscitation, the rescuer should first:
Correct Answer: D
Rationale: Failure of the chest to rise during rescue breaths suggests airway obstruction or improper positioning. Repositioning the airway (e.g., head-tilt-chin-lift) is the first step.
Question 2 of 5
A client with acute renal failure has an increase in the serum potassium level. The nurse should monitor the client for:
Correct Answer: A
Rationale: Elevated potassium can cause cardiac arrhythmias, potentially leading to cardiac arrest, requiring close monitoring.
Question 3 of 5
The nurse evaluates that the client correctly understands how to report signs and symptoms of bleeding when the client makes which of the following statements?
Correct Answer: B
Rationale: Ecchymoses are large, purple bruises caused by bleeding under the skin, a common sign of thrombocytopenia. This statement shows correct understanding. Petechiae are small, pinpoint red dots, not large bruises; 'emmum' is not a medical term; and abrasions are superficial skin injuries, not bleeding signs.
Question 4 of 5
When teaching the client to care for an ileal conduit, the nurse instructs the client to empty the appliance frequently. Which of the following indicate that the client is following instructions?
Correct Answer: C,D
Rationale: No odor and an intact seal indicate frequent emptying, preventing urine leakage and skin irritation. Red skin or deep yellow urine suggest inadequate care or dehydration.
Question 5 of 5
A client with multiple sclerosis (MS) lives with her daughter and 3-year-old granddaughter. The daughter asks the nurse what she can do at home to help her mother. Which of the following measures would be most beneficial?
Correct Answer: B
Rationale: Regular exercise is most beneficial, as it maintains mobility, strength, and overall health in MS. Psychotherapy, daycare, or peer visits may help but are less directly impactful.