NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
The American Heart Association (AHA) guidelines urge greater availability of automated external defibrillators (AEDs) and people trained to use them. AEDs are used in cardiac arrest situations for:
Correct Answer: C
Rationale: AEDs are used for early defibrillation in ventricular fibrillation or pulseless ventricular tachycardia, as these are shockable rhythms that can be corrected to restore cardiac function.
Question 2 of 5
A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply.
Correct Answer: A,B
Rationale: Preventing constipation (
A) and administering lactulose (
B) reduce ammonia levels in hepatic encephalopathy. Coordination (
C) and pupil reaction (
D) are less relevant. High carbohydrates (E) are not specific, and physical activity (F) may be limited.
Question 3 of 5
A nurse is providing wound care to a client 1 day after the client underwent an appendectomy. A drain was inserted into the incisional site during surgery. Which action should the nurse perform when providing wound care?
Correct Answer: D
Rationale: When providing wound care, the nurse should clean the area around the drain moving away from the drain to prevent introducing pathogens into the wound. Leaving the incision open, removing the drain, or irrigating are not appropriate without specific orders. CN: Physiological adaptation; CL: Synthesize
Question 4 of 5
The nurse administers a bolus tube feeding to a client with cancer. Which of the following nursing interventions is most appropriate to decrease the risk of aspiration?
Correct Answer: C
Rationale: Sitting upright in a chair for 1 hour after a bolus tube feeding minimizes aspiration risk by promoting gastric emptying and reducing reflux.
Question 5 of 5
A 75-year-old male client has a history of macular degeneration. While he is in the hospital, the priority nursing goal will be:
Correct Answer: C
Rationale: Promoting a safe, effective care environment is the priority to prevent falls and injuries due to impaired central vision in a hospital setting.