NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
In which of the following clients is an autotransfusion contraindicated?
Correct Answer: A,C,D
Rationale: Autotransfusion is contraindicated in cancer (risk of spreading malignant cells), contaminated wounds, or ruptured bowel (risk of infection or bacterial spread). It may be used cautiously in cardiac arrest if no other contraindications exist.
Question 2 of 5
What is the priority intervention for a client with a suspected stroke?
Correct Answer: C
Rationale: Monitoring neurological status is the priority to detect changes and guide timely stroke intervention.
Question 3 of 5
Thirty people are injured in a train derailment. Ineffective and the transported to the hospital first?
Correct Answer: D
Rationale: A sucking chest wound is a life-threatening condition that can impair breathing and requires immediate intervention, prioritizing this patient for transport over others with less urgent injuries.
Question 4 of 5
Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.
Question 5 of 5
A client who is recovering from a subtotal gastrectomy experiences dumping syndrome. The client asks the nurse, 'When will I be able to eat three meals a day again like I used to?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Most clients can gradually resume a normal meal pattern (three meals a day) within 6 to 12 months as the body adapts post-gastrectomy, making this the most accurate and supportive response.