NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
On admission to same-day surgery, the nurse reviews the chart to verify the client's identification documentation. Which of the following is most important?
Correct Answer: C
Rationale: The identification bracelet is the most reliable method to verify client identity, ensuring safety and preventing errors in same-day surgery.
Question 2 of 5
Immediately after a lumbar laminectomy, the nurse administers ondansetron hydrochloride (Zofran) to the client as ordered. The nurse determines that the drug is effective when which of the following is controlled?
Correct Answer: B
Rationale: Ondansetron is an antiemetic, effective when nausea is controlled.
Question 3 of 5
Signs and symptoms of Cushing's disease include:
Correct Answer: B
Rationale: Thin, fragile skin is a hallmark of Cushing's disease due to cortisol's catabolic effects on connective tissue.
Question 4 of 5
A client experiences initial indications of excitation after having an I.V. infusion of lidocaine hydrochloride started. The nurse should further assess the client when the client reports having:
Correct Answer: B
Rationale: Tinnitus is a sign of lidocaine toxicity, requiring further assessment to prevent serious complications like seizures or arrhythmias.
Question 5 of 5
A client with pancreatic cancer is receiving morphine via a subcutaneous pump. The client is developing drug tolerance. The nurse understands that the client is:
Correct Answer: C
Rationale: Drug tolerance means the client requires an increased dose to achieve the same pain relief, as the body has adapted to the current dose of morphine.