NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The client has just had a total knee replacement for severe osteoarthritis. Which of the following assessment findings should lead the nurse to suspect possible nerve damage?
Correct Answer: A
Rationale: Numbness indicates potential nerve damage, requiring urgent evaluation.
Question 2 of 5
A priority nursing diagnosis for an adult female who has pruritus and is continuously scratching the affected areas and demonstrates agitation and anxiety regarding the itching sensation would be:
Correct Answer: A
Rationale: Scratching due to pruritus increases the risk of skin breakdown and infection, making this the priority nursing diagnosis.
Question 3 of 5
Because of steroid excess after a bilateral adrenalectomy, the nurse should assess the client for:
Correct Answer: B
Rationale: Excess steroids, even post-adrenalectomy, can cause delayed wound healing due to their catabolic effects.
Question 4 of 5
A client is being switched from levodopa (L-dopa) to carbidopa-levodopa (Sinemet). The nurse should monitor for which of the following possible complications during medication changes and dosage adjustment?
Correct Answer: B
Rationale: Jaundice may indicate hepatotoxicity, a rare but serious complication of levodopa or carbidopa-levodopa. Euphoria, motor fluctuations, and diabetes are not primary concerns during this switch.
Question 5 of 5
A client has a positive reaction to the Mantoux test. The nurse correctly interprets this reaction to mean that the client has:
Correct Answer: B
Rationale: A positive Mantoux test indicates exposure to Mycobacterium tuberculosis, not necessarily active disease. It does not imply resistance or passive immunity.