NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for:
Correct Answer: C
Rationale: Early morning stiffness is a hallmark symptom of rheumatoid arthritis, especially in the early stages, as it reflects joint inflammation that worsens after periods of inactivity.
Question 2 of 5
A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter would be to:
Correct Answer: B
Rationale: Ensuring free drainage prevents obstruction or pressure buildup, which could harm the surgical site or kidney function.
Question 3 of 5
An adult client with type 2 diabetes is taking metformin (Glucophage) 1,000 mg two times every day. After the nurse provides instructions regarding the interaction of alcohol and metformin, the nurse evaluates that the client understands the instructions when the client says:
Correct Answer: A
Rationale: Alcohol combined with metformin increases the risk of lactic acidosis, a serious complication. The client should avoid alcohol while taking metformin.
Question 4 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 5 of 5
On the fourth day after surgery, a client has a postoperative wound infection. Which of the following should the nurse assess? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Signs of wound infection include redness/swelling (
B), fever (
C), pain (
D), and warmth (E). A WBC of 10,000/mm³ (
A) is normal and not indicative of infection.