NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
In planning the care for a client who has had a posterior fossa (infratentorial) craniotomy, which of the following is contraindicated when positioning the client?
Correct Answer: A
Rationale: Keeping the client flat is contraindicated after a posterior fossa craniotomy, as it increases ICP. Elevating the head, logrolling, and neutral neck positioning promote venous drainage and spinal alignment, reducing ICP risk.
Question 2 of 5
A client states that she is afraid of receiving vitamin B12 injections because of potential toxic effects, which is the nurse's best response to relieve these fears?
Correct Answer: D
Rationale: Vitamin B12 is a water-soluble vitamin, and excess amounts are excreted in urine, making toxicity rare. This response reassures the client by addressing her fear of toxic effects accurately. The other responses are incorrect, as B12 does not typically cause ringing in the ears, rash, or nausea as signs of toxicity.
Question 3 of 5
A client with a family history of cancer asks the nurse what the single most important risk factor is for cancer. Which of the following risk factors should be necessary:
Correct Answer: C
Rationale: Age is the most significant risk factor for cancer, as the incidence of most cancers increases with advancing age due to cumulative genetic and environmental damage.
Question 4 of 5
A client with pneumonia is experiencing pleuritic chest pain. The nurse should assess the client for:
Correct Answer: C
Rationale: Pleuritic chest pain is sharp or moderate and worsens with inspiration due to inflamed pleura. Constant aching, midsternal pain, or muscle spasm pain are not characteristic of pleurisy.
Question 5 of 5
Which of the following individuals should the nurse consider to have the highest priority for receiving seasonal influenza vaccination?
Correct Answer: C
Rationale: The 50-year-old caring for an immunocompromised spouse is the highest priority for influenza vaccination to prevent transmission. Others have lower risk profiles.