NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Interferon alfa-2b (Intron A) has been prescribed to treat a client with chronic hepatitis B. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: Interferon alfa-2b commonly causes flulike symptoms (
C), such as fever, chills, and fatigue, which are expected adverse effects. Retinopathy (
A), constipation (
B), and hypoglycemia (
D) are not typically associated with this medication.
Question 2 of 5
Which of the following health promotion activities would be appropriate for the nurse to suggest that the client with cirrhosis add to the daily routine at home?
Correct Answer: A
Rationale: Multivitamins (
A) address nutritional deficiencies common in cirrhosis. Alcohol (
B) must be completely avoided, sleeping pills (
C) risk encephalopathy, and social isolation (
D) is unnecessary.
Question 3 of 5
The nurse asks the client to state her name as soon as she regains consciousness postoperatively after a subtotal thyroidectomy and at each assessment. The nurse does this to monitor for signs of which of the following?
Correct Answer: C
Rationale: Asking the client to speak monitors for laryngeal nerve damage, which can cause vocal cord paralysis and hoarseness, a potential complication of thyroidectomy.
Question 4 of 5
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
Correct Answer: C
Rationale: SSKI has an unpleasant taste and can stain teeth. Diluting it with water, milk, or juice and using a straw minimizes discomfort and staining.
Question 5 of 5
A client has recently been diagnosed with type 2 diabetes mellitus and is to take tolbutamide (Orinase). When teaching the client about the drug, the nurse explains that tolbutamide is believed to lower the blood glucose level by which of the following actions?
Correct Answer: C
Rationale:
Tolbutamide, a sulfonylurea, stimulates insulin release from pancreatic beta cells, helping to lower blood glucose levels in type 2 diabetes.