NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The client's wife asks the nurse whether the I.V. infusion is meeting her husband's nutritional needs because he has vomited several times. The nurse's response should be based on the knowledge that 1 L of 5% dextrose in normal saline solution delivers:
Correct Answer: A
Rationale: One liter of 5% dextrose provides 50 g of dextrose, yielding approximately 170 calories, insufficient for full nutritional needs.
Question 2 of 5
When a client with thrombocytopenia has a severe headache, the nurse interprets that this may indicate which of the following?
Correct Answer: B
Rationale: Thrombocytopenia increases the risk of bleeding, and a severe headache may indicate cerebral bleeding, a life-threatening complication. The nurse should prioritize this possibility over stress, migraine, or sinus issues, which are less likely in this context.
Question 3 of 5
Which of the following hospitalized clients is at risk to develop parotitis?
Correct Answer: C
Rationale: Dehydration and poor oral hygiene in the 80-year-old client increase the risk of parotitis due to reduced saliva production and bacterial overgrowth.
Question 4 of 5
Which of the following discharge instructions would be appropriate for a client who has had a laparoscopic cholecystectomy?
Correct Answer: B
Rationale: Returning to work within 1 week (
B) is reasonable for laparoscopic cholecystectomy, depending on recovery. Showering is typically allowed after 24-48 hours (A is incorrect). Dressings can often be removed sooner (
C), and acetaminophen is for pain, not fever control (
D).
Question 5 of 5
Which activity should the nurse encourage the client to avoid when there is a risk for increased intracranial pressure (ICP)?
Correct Answer: C
Rationale: Coughing increases intrathoracic pressure, which can elevate ICP. Deep breathing, turning, and passive ROM are generally safe and may even help prevent complications like atelectasis or contractures if done gently.