NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 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 2 of 5
Which assessment is critical for a client with a recent stroke?
Correct Answer: A
Rationale: Assessing swallowing ability is critical to prevent aspiration in stroke patients.
Question 3 of 5
A 62-year-old female is taking long-acting morphine 120 mg every 12 hours for pain from metastatic breast cancer. She can have 20 mg of immediate-release morphine every 3 to 4 hours as needed for breakthrough pain. The physician should be notified if the client uses more than how many breakthrough doses of morphine in 24 hours?
Correct Answer: B
Rationale: More than four breakthrough doses (80 mg additional morphine) in 24 hours indicates inadequate baseline pain control, requiring physician notification to adjust the long-acting morphine dose.
Question 4 of 5
A 56-year-old female with lung cancer is undergoing a thoracentesis. Which of the following outcomes of the procedure are expected? Select all that apply.
Correct Answer: B,C,D
Rationale: Thoracentesis diagnoses underlying disease (
B), palliates symptoms like dyspnea (
C), and relieves acute respiratory distress (
D). It does not treat recurrent effusions or remove cancer cells.
Question 5 of 5
A client with toxic shock has been receiving ceftriaxone sodium (Rocephin), 1 g every 12 hours. In addition to culture and sensitivity studies, which other laboratory findings does the nurse monitor?
Correct Answer: A
Rationale: Ceftriaxone can cause nephrotoxicity, so the nurse should monitor serum creatinine to assess kidney function. Spinal fluid analysis, arterial blood gases, and serum osmolality are not routinely monitored for ceftriaxone therapy.