Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Medical Surgical Questions and Answers Questions

Extract:


Question 1 of 5

The best indicator that the client has learned how to give an insulin self-injection correctly is when the client can:

Correct Answer: A

Rationale: The ability to perform the insulin injection safely and correctly demonstrates mastery of the skill, which is the best indicator of learning.

Question 2 of 5

The nurse is teaching a 17-year-old client and the client's family about what to expect with high-dose chemotherapy. Which of the following side effects should be included in the teaching plan?

Correct Answer: A

Rationale: Fever is a common side effect of high-dose chemotherapy due to neutropenia and increased infection risk, and should be included in the teaching plan.

Question 3 of 5

Which of the following nursing interventions would be most helpful in making the respiratory effort of a client with metastatic lung cancer more efficient?

Correct Answer: C

Rationale: Pursed-lip breathing helps prolong exhalation, reducing air trapping and improving respiratory efficiency in clients with metastatic lung cancer.

Question 4 of 5

Following a total hip replacement, the nurse should do which of the following? Select all that apply.

Correct Answer: B,D,E

Rationale: Using a trapeze, fracture bedpan, and antiembolism stockings supports recovery and prevents complications. Prone positioning and 90-degree elevation risk dislocation.

Question 5 of 5

The nurse sees a client walking in the hallway who begins to have a seizure. The nurse should do which of the following in priority order?

Order the Items

Source Container

Maintain a patent airway.
Record the seizure activity observed.
Ease the client to the floor.
Obtain vital signs.

Correct Answer: C,A,B,D

Rationale: The priority order is: 1) Ease the client to the floor to prevent injury (
C); 2) Maintain a patent airway to ensure oxygenation (
A); 3) Record seizure activity for accurate reporting (
B); 4) Obtain vital signs post-seizure to assess stability (
D).

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