NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The client's family asks why the client who had a splenectomy has a nasogastric (NG) tube. An NG tube is used to:
Correct Answer: C
Rationale: An NG tube is used post-splenectomy to decompress the stomach and decrease abdominal distention, which can reduce pressure on the surgical site and promote healing. It does not move the stomach, irrigate the site, or assess gastric pH.
Question 2 of 5
A client with osteoporosis is prescribed alendronate (Fosamax). Which instruction should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation.
Question 3 of 5
Which assessment is most important for a client with a traumatic brain injury?
Correct Answer: A
Rationale: The Glasgow Coma Scale is critical to assess neurological status and guide management in traumatic brain injury.
Question 4 of 5
The nurse is evaluating the client's learning about combination chemotherapy. Which of the following statements by the client about reasons for using combination chemotherapy indicates the need for further explanation?
Correct Answer: B
Rationale: Combination chemotherapy targets cancer cells at different cell cycle stages, reduces resistance, and minimizes toxicity by using lower doses of multiple drugs. It does not treat side effects; supportive care does. This statement indicates a need for further explanation.
Question 5 of 5
The nurse is reviewing laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following indicate that the drug has had a therapeutic effect?
Correct Answer: D
Rationale: Allopurinol reduces serum uric acid levels, indicating therapeutic effectiveness in preventing uric acid stone formation.