Questions 108

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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

The client has a latex allergy. What should the nurse teach the client to do before having surgery at a free-standing surgery center? Select all that apply.

Correct Answer: A,B,C

Rationale: Treatment and diagnostic evaluation must be done in a latex-safe environment. Signs/symptoms may be mild to anaphylaxis. Clients with latex allergy are advised to notify their health care providers and to wear a medical ID; however, all metal and jewelry must be removed prior to surgery as they could conduct an electrical current.

Question 2 of 5

To prepare the irrigation solution used for removal of cerumen, the nurse should use:

Correct Answer: A

Rationale: Normal saline is the preferred solution for ear irrigation, as it is isotonic and safe for the ear canal, minimizing irritation or risk of infection.

Question 3 of 5

Which of the following guidelines reflects the current American Cancer Society recommendations for screening for colon cancer in individuals who are not at high risk?

Correct Answer: B

Rationale: Annual fecal testing for occult blood should begin at age 50. Annual digital rectal examinations are recommended in men beginning at age 50 to screen for prostate cancer. Baseline barium enemas or colonoscopies are recommended at age 50. Baseline barium enemas and colonoscopies are not performed on individuals in their 40s unless they recommend the nurse to the need for such diagnostic testing, or are considered to be at high risk. CN: Health promotion and maintenance; CL: Apply

Question 4 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.

Question 5 of 5

What is the purpose of sodium polystyrene sulfonate in acute renal failure?

Correct Answer: B

Rationale: Sodium polystyrene sulfonate removes potassium from the body, treating hyperkalemia.

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