NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The client who had a permanent pacemaker implanted 2 days earlier is being discharged from the hospital. The client understands the discharge plan when the client:
Correct Answer: C
Rationale: Understanding safety precautions (e.g., avoiding strong electromagnetic fields) prevents pacemaker malfunction, indicating discharge plan comprehension.
Question 2 of 5
Which activity would be appropriate to delegate to unlicensed personnel for a client diagnosed with a myocardial infarction who is stable?
Correct Answer: D
Rationale: Recording intake and output is within the scope of unlicensed personnel, as it involves observation and documentation, not assessment or teaching.
Question 3 of 5
The nurse is obtaining the pulse of a client who has had a femoral-popliteal bypass surgery 6 hours ago. Which assessment provides the most accurate information about the client's postoperative status?
Correct Answer: B
Rationale: Assessing the pedal pulse post-femoral-popliteal bypass is most accurate for evaluating graft patency and distal perfusion. A palpable or Doppler-detected pedal pulse indicates successful restoration of blood flow to the lower extremity. Other pulses (radial, brachial, popliteal) are less specific to the surgical site.
Question 4 of 5
A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be:
Correct Answer: B
Rationale: Nausea, tingling, and dyspnea during an arteriogram suggest a possible allergic reaction to the contrast dye or other complications (e.g., vasovagal response). The nurse should immediately inform the physician to evaluate and manage the situation. Administering epinephrine or oxygen requires a physician's order, and reassuring the client is inappropriate until the issue is addressed.
Question 5 of 5
A client is receiving Pentoxifylline (Trental) for intermittent claudication. The nurse should determine the effectiveness of the drug by asking the client:
Correct Answer: A
Rationale: Pentoxifylline improves blood flow by reducing blood viscosity and increasing erythrocyte flexibility, alleviating intermittent claudication. Asking about improved leg circulation (e.g., reduced pain or increased walking distance) assesses its effectiveness.
Toe movement, urination, and dizziness are unrelated to its therapeutic action.