NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
In the oliguric phase of acute renal failure, the nurse should assess the client for:
Correct Answer: A
Rationale: Pulmonary edema is a risk in the oliguric phase due to fluid overload from reduced urine output.
Question 2 of 5
What diet should be implemented for a client who is in the early stages of cirrhosis?
Correct Answer: A
Rationale: A high-calorie, high-carbohydrate diet (
A) supports energy needs in early cirrhosis without overloading the liver. High-protein (
B) risks encephalopathy, low-fat, low-protein (
C) is too restrictive, and low-sodium (
D) is for later stages with ascites.
Question 3 of 5
A nurse receives the taped change-of-shift report for assigned clients and prioritizes client rounds. In what order should the nurse assess these clients?
Order the Items
Source Container
Correct Answer: A,C,B,D
Rationale: The client with a new endotracheal tube (
A) is highest priority due to airway risk. The febrile client with cellulitis (
C) is next for infection monitoring. The stroke client (
B) is stable 4 days post-event. The I.V. fluid client (
D) is lowest priority.
Question 4 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.
Question 5 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.