NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client asks the nurse to explain what it means that his Hodgkin's disease is diagnosed at stage 1A. Which of the following describes the involvement of the disease?
Correct Answer: A
Rationale: Stage 1A Hodgkin's disease indicates involvement of a single lymph node region without B symptoms (fever, night sweats, weight loss). Higher stages involve multiple nodes or extralymphatic sites.
Question 2 of 5
In the acute phase of burn injury, which pain medication would most likely be given to the client to decrease the perception of the pain?
Correct Answer: B
Rationale: Intravenous opioids are preferred in the acute phase for rapid, effective pain relief due to severe burn pain and potential impaired oral absorption.
Question 3 of 5
A client is being prepared to have a craniotomy for a brain tumor. As a client advocate, the nurse is evaluating the client's understanding of the informed consent before witnessing the client's signature on the operative consent form. Which of the following indicates that the nurse needs to contact the surgeon for further communication with the client?
Correct Answer: C
Rationale: Stating there are no major risks indicates a misunderstanding, as craniotomy carries significant risks (e.g., bleeding, infection). The nurse must contact the surgeon to clarify risks for informed consent.
Question 4 of 5
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?
Correct Answer: D
Rationale: Cyanosis in pneumonia results from decreased blood oxygenation due to impaired gas exchange in the lungs. Cardiac output, pleural effusion, and peripheral circulation may contribute but are not primary causes.
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.