NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The client is scheduled for an intravenous pyelogram (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation?
Correct Answer: B
Rationale: Checking for iodine allergy is critical for IVP due to the use of iodine-based contrast, which can cause severe allergic reactions.
Question 2 of 5
The nurse is planning to teach incisional care to a client before discharge. Which of the following instructions should be included?
Correct Answer: C
Rationale: Uneven lumps under suture lines are normal due to tissue healing and swelling. This reassurance prevents unnecessary worry. Hydrogen peroxide is not routinely recommended, and staples are typically removed by the surgeon.
Question 3 of 5
The nurse is developing a plan of care for the client with viral hepatitis. The nurse should instruct the client to:
Correct Answer: A
Rationale: Adequate bed rest (
A) reduces metabolic demands and supports recovery in viral hepatitis. Increased fluids (
B) are supportive but secondary. High-protein diets (
C) or avoiding carbohydrates (
D) are not indicated for hepatitis management.
Question 4 of 5
A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter would be to:
Correct Answer: B
Rationale: Ensuring free drainage prevents obstruction or pressure buildup, which could harm the surgical site or kidney function.
Question 5 of 5
A nurse assesses a 40-year-old female client with vasospastic disorder (Raynaud's phenomenon) involving her right hand. The nurse notes the information in the progress notes, as shown below. From these findings, the nurse should formulate which priority nursing diagnosis?
Correct Answer: C
Rationale: Ineffective tissue perfusion (peripheral) is the priority nursing diagnosis in Raynaud's phenomenon, as vasospasm reduces blood flow to the extremities, causing ischemia. This underlies symptoms like numbness or pallor. Pain, sensory changes, or skin integrity risks are secondary to perfusion deficits.