NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The client is a survivor of non-Hodgkin's lymphoma. Which of the following statements indicates the client needs additional information?
Correct Answer: B
Rationale: The survival rate for non-Hodgkin's lymphoma is inversely proportional to the incidence of second malignancies, as secondary cancers reduce survival. The statement that it is directly proportional indicates a misunderstanding. Regular screening, knowing disease stage, and treatment plans are correct.
Question 2 of 5
The nurse is administering a medication to a client with myeloid leukemia and does not know the use, dose, or side effects. To obtain the most up-to-date information about this drug, the nurse should:
Correct Answer: C
Rationale: The hospital's drug guide on the nurse's PDA provides the most up-to-date and accessible information on medication use, dose, and side effects, tailored to hospital protocols. PDR and textbooks may be outdated, and manufacturer websites are less reliable for clinical use.
Question 3 of 5
The nurse is planning to give preoperative instructions to a client who will be undergoing rhinoplasty. Which of the following instructions should be included:
Correct Answer: D
Rationale: Aspirin can increase bleeding risk, so it should be avoided for 2 weeks before surgery. Nasal packing is typically removed within 1–3 days. Saline drops are not routinely required preoperatively. Surgical results may take weeks to months to be fully apparent due to swelling.
Question 4 of 5
Which of the following is an appropriate expected outcome for a client recovering from a total laryngectomy? The client will:
Correct Answer: C
Rationale: Communicating feelings about body image changes is an appropriate psychosocial outcome post-laryngectomy, addressing adaptation to altered appearance. Taste and smell may be impaired long-term. Gastrostomy tubes are not always required. Sterile suctioning is a nursing task, not a client outcome.
Question 5 of 5
The nurse should teach clients that the most common route of transmitting tubercle bacilli from person to person is through contaminated:
Correct Answer: B
Rationale: Tuberculosis is primarily spread through droplet nuclei produced when an infected person coughs or sneezes. Dust, water, and utensils are not significant transmission routes.