NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The client has had a below-the-knee amputation secondary to arterial occlusive disease. The nurse is instructing the client in stump care. Which of the following statements by the client indicates that she understands how to implement her plan of care?
Correct Answer: C
Rationale: Rewrapping the stump as often as needed ensures proper compression to shape the stump for a prosthesis and reduce edema, indicating correct understanding of stump care. Inspecting every other day may be insufficient, washing and moisturizing the incision risks infection, and elevating on pillows is not standard for arterial disease.
Question 2 of 5
A nurse is helping a suspected choking victim. The nurse should perform the Heimlich maneuver when the victim:
Correct Answer: B
Rationale: Inability to speak indicates a complete airway obstruction, necessitating the Heimlich maneuver to dislodge the blockage.
Question 3 of 5
The client in balanced suspension traction is transported to surgery for closed reduction and internal fixation of his fractured femur. Which of the following should the nurse do when transporting the client to the operating room?
Correct Answer: C
Rationale: Transporting on the bed with extra help maintains traction stability, preventing fracture displacement.
Question 4 of 5
A client with neutropenia is at risk for sepsis. Which of the following is the earliest sign the nurse should monitor for?
Correct Answer: B
Rationale: Tachycardia is often the earliest sign of sepsis, reflecting the body's response to infection, and requires prompt monitoring in a neutropenic client.
Question 5 of 5
The physician orders Morphine Sulfate 2-4 mg IV push every 2 hours prn pain for a client who has postoperative pain following abdominal surgery. Prior to performing an abdominal dressing change with packing at 10 AM, the nurse assesses the client's pain level as 1 on a scale of 0 = no pain to 10 = the worst pain. The client is awake and oriented and vital signs are within normal limits. The nurse reviews the pain medication record (see chart). The nurse should:
Correct Answer: A
Rationale: With a pain level of 1, the client does not require morphine (prn order). Performing the dressing change is appropriate, as the pain is minimal and manageable.