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Med Surg RN NCLEX Practice Questions Questions

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Question 1 of 5

The best method to remove cerumen from a client's ear involves:

Correct Answer: B

Rationale: Gentle irrigation with warm water or saline is the safest and most effective method to remove cerumen, avoiding trauma to the ear canal or eardrum.

Question 2 of 5

A client with bladder cancer has lost an estimated 500 mL blood in the urine. The client's hemoglobin is 8.0 g/dL, and the physician orders a unit of packed blood cells. To administer the packed red blood cells, the nurse should:

Correct Answer: A

Rationale: Packed red blood cells should be administered via a 19G I.V. with normal saline using Y tubing to prevent hemolysis, which can occur with dextrose solutions.

Question 3 of 5

The rapid response team has been called to manage an unwitnessed cardiac arrest. The estimated maximum time a person can be without cardiopulmonary function and still not experience permanent brain damage is:

Correct Answer: B

Rationale: Brain damage begins after 4 to 6 minutes without oxygenation, making this the critical window for initiating CPR to prevent permanent damage.

Question 4 of 5

A client with ulcerative colitis expresses serious concerns about her career as an attorney because of the effects of stress on ulcerative colitis. Which of the following stress interventions will be most helpful to the client?

Correct Answer: A

Rationale: Reviewing and developing coping mechanisms helps the client manage stress nbr without assuming drastic changes like altering her career or relying on others to adjust her workload. Preparing family for part-time work is premature and not directly stress-focused. CN: Psychosocial adaptation; CL: Synthesize

Question 5 of 5

The nurse assesses that the client with hepatitis is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. Based on this information, which of the following would be an appropriate nursing diagnosis?

Correct Answer: D

Rationale: Activity intolerance related to fatigue (
D) accurately reflects the client's rapid tiring due to hepatitis. Impaired mobility (
A), self-care deficit (
B), and ineffective coping (
C) are less directly supported by the symptoms described.

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