NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
Several clients come to the emergency department with suspected contamination by the Ebola virus. What should the nurse do? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Ebola requires comprehensive measures: extra staff for surge capacity, isolation to prevent spread, bleach for disinfection, visitor restrictions, and contact quarantine to control the outbreak.
Question 2 of 5
What should the nurse monitor in a client receiving baclofen?
Correct Answer: B
Rationale: Spasticity levels are monitored to evaluate the effectiveness of baclofen in reducing muscle spasticity.
Question 3 of 5
Which of the following statements is most accurate regarding the long-term toxic effects of cancer treatments on the immune system?
Correct Answer: B
Rationale: Radiation and combination chemotherapy can cause significant and prolonged immune suppression, increasing infection risk, which is a well-documented long-term effect.
Question 4 of 5
When beginning I.V. erythropoietin (Epogen, Procrit) therapy, the nurse should do which of the following? Select all that apply.
Correct Answer: A,C,D,F
Rationale: For IV erythropoietin therapy, the nurse should check hemoglobin levels to monitor response and prevent overcorrection, keep multidose vials refrigerated to maintain stability, administer without mixing with other medications to avoid interactions, and educate about avoiding hazardous activities due to potential side effects like dizziness. Shaking the vial can denature the protein, and dose adjustments are typically based on hematologic response, not blood pressure.
Question 5 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.