NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
In planning care for the client who has had a stroke, the nurse should obtain a history of the client's functional status before the stroke because?
Correct Answer: A
Rationale: A pre-stroke functional status history guides the rehabilitation plan by setting realistic goals based on prior abilities. Predicting outcomes, recognizing limitations, or expecting full recovery are secondary or unrealistic.
Question 2 of 5
The client with glaucoma is scheduled for a hip replacement. Which of the following orders would require clarification before the nurse carries it out?
Correct Answer: B
Rationale: Atropine sulfate can increase intraocular pressure, which is contraindicated in glaucoma. The nurse should clarify this order to ensure it is safe for the client.
Question 3 of 5
Which of the following diets would be most appropriate for the client with ulcerative colitis?
Correct Answer: B
Rationale: A high-protein, low-residue diet is appropriate for ulcerative colitis as it provides nutrients for healing while minimizing bowel irritation. High-fiber diets may worsen symptoms during flares, and the other options are less tailored to the condition's needs. CN: Physiological adaptation; CL: Apply
Question 4 of 5
A client is on complete bed rest. The nurse should assess the client for risk for developing which of the following complications?
Correct Answer: D
Rationale: Complete bed rest increases the risk of thrombophlebitis due to venous stasis from immobility, promoting clot formation. Air embolus is rare, fat embolus is associated with fractures, and stress fractures result from repetitive trauma, not bed rest.
Question 5 of 5
The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which of the following symptoms?
Correct Answer: A
Rationale: Heartburn is a hallmark symptom of a sliding hiatal hernia with reflux, caused by stomach acid refluxing into the esophagus.