NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The client tells the nurse that since his diagnosis of stomach cancer, he has been having trouble sleeping and is frequently preoccupied with thoughts about how his life will change. He says, 'I wish my life could stay the same.' Based on this information, which one of the following nursing diagnoses would be appropriate at this time?
Correct Answer: C
Rationale: The client's statement and symptoms suggest grieving related to the life-altering diagnosis of stomach cancer. This diagnosis best captures the emotional response to the anticipated changes.
Question 2 of 5
The client with gastroesophageal reflux disease (GERD) complains of a chronic cough. The nurse understands that in a client with GERD this symptom is indicative of which of the following conditions?
Correct Answer: D
Rationale: A chronic cough in GERD is often due to aspiration of gastric contents into the respiratory tract, irritating the airways. The other options are less directly related to this symptom.
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
A client who has had ulcerative colitis for the past 5 years is admitted to the hospital with an exacerbation of the disease. Which of the following factors was most likely of greatest significance in causing an exacerbation of ulcerative colitis?
Correct Answer: D
Rationale: Stopping corticosteroid therapy can lead to an exacerbation of ulcerative colitis, as corticosteroids help control inflammation. A demanding job or recent travel may contribute to stress but are less directly linked. A high-fiber diet is generally beneficial for managing symptoms unless during an acute flare. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
Before abdominal surgery for an intestinal obstruction, the nurse monitors the client's urine output and finds the total output for the past 2 hours was 35 mL. The nurse then assesses the client's total intake and output over the last 24 hours and notes that he had 2,000 mL of I.V. fluid for intake, 500 mL of drainage from the nasogastric tube, and 700 mL of urine for a total output of 1,200 mL. This would indicate which of the following?
Correct Answer: D
Rationale: The low urine output (35 mL in 2 hours) and a 24-hour output (1,200 mL) less than intake (2,000 mL) suggest inadequate fluid replacement, as the body is retaining fluid or losing it through vomiting and NG drainage. Decreased renal function, pain, or obstruction extension are less directly indicated. CN: Physiological adaptation; CL: Analyze