NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
In the acute phase of burn injury, which pain medication would most likely be given to the client to decrease the perception of the pain?
Correct Answer: B
Rationale: Intravenous opioids are preferred in the acute phase for rapid, effective pain relief due to severe burn pain and potential impaired oral absorption.
Question 2 of 5
A client is being prepared to have a craniotomy for a brain tumor. As a client advocate, the nurse is evaluating the client's understanding of the informed consent before witnessing the client's signature on the operative consent form. Which of the following indicates that the nurse needs to contact the surgeon for further communication with the client?
Correct Answer: C
Rationale: Stating there are no major risks indicates a misunderstanding, as craniotomy carries significant risks (e.g., bleeding, infection). The nurse must contact the surgeon to clarify risks for informed consent.
Question 3 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 4 of 5
In which areas of the United States is the incidence of tuberculosis highest?
Correct Answer: B
Rationale: Inner-city areas have higher tuberculosis incidence due to crowding, poverty, and limited healthcare access. Rural, low-water-standard, and suburban areas have lower rates.
Question 5 of 5
Prevention of skin breakdown and maintenance of skin integrity among older clients is important because they are at greater risk secondary to:
Correct Answer: B
Rationale: Older adults have reduced pressure sensation due to thinner skin and nerve changes, increasing the risk of skin breakdown and pressure ulcers.