Questions 108

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Med Surg RN NCLEX Questions Questions

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Question 1 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 2 of 5

A 58-year-old client with pancreatic cancer, who has been bed-bound for 3 weeks, has just returned from having a left subclavian, long-term, tunneled catheter inserted for administration of analgesics. The nurse has not yet received radiographic results for confirmation of placement. The client becomes diaphoretic and complains of chest pain radiating to the middle of his back. Physical assessment reveals tachycardia and absent breath sounds in the left lung. The nurse should further assess the client for:

Correct Answer: B

Rationale: Absent breath sounds, chest pain, and tachycardia post-catheter insertion suggest a pneumothorax, a known complication of subclavian catheter placement, requiring urgent assessment.

Question 3 of 5

A nurse is to administer 10 mg of morphine sulfate to a client with three fractured ribs. The available concentration for this drug is 15 mg/mL. How many milliliters should the nurse administer? Round to one decimal point.

Correct Answer: 0.7 mL

Rationale:
To calculate: 10 mg ÷ 15 mg/mL = 0.666€¦ mL, rounded to 0.7 mL.

Question 4 of 5

A client has been in the position shown in the figure for surgery. The nurse should document that the client has been in which of the following positions?

Question Image

Correct Answer: C

Rationale: The client is in the lithotomy position. The reverse Trendelenburg position is when the client is lying supine with the head lower than the rest of the body. A low Fowler’s position is when the client is sitting up at a 30- to 45-degree angle. The prone position is when the client is lying face down.

Question 5 of 5

A client on hemodialysis reports fatigue. The nurse should assess for:

Correct Answer: A

Rationale: Anemia is common in renal failure due to decreased erythropoietin.

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