NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The client with acute leukemia and the health care team establish mutual client outcomes of improved tidal volume and activity tolerance. Which measure would be least likely to promote outcome achievement?
Correct Answer: C
Rationale: Improving tidal volume and activity tolerance requires active movement to enhance lung expansion and stamina. Ambulating, sitting up, and using a stationary bicycle promote these outcomes. Lying in bed, even with deep breaths, is passive and least effective.
Question 2 of 5
The nurse is planning care for an 80-year-old client with a pressure ulcer (see figure). The nurse should do which of the following? Select all that apply.
Correct Answer: C,D,E
Rationale: Protective dressings, frequent repositioning, and pressure-relieving mattresses promote healing and prevent worsening of pressure ulcers. High head elevation increases shear, and daily cultures are unnecessary unless infection is suspected.
Question 3 of 5
The nurse overhears a surgical team member discussing a client's procedure in the hospital cafeteria. The nurse should:
Correct Answer: A
Rationale: Discussing client information in a public area violates HIPAA. Reporting to the privacy officer ensures proper handling of the confidentiality breach.
Question 4 of 5
College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:
Correct Answer: D
Rationale: Hepatitis B is transmitted via blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is more relevant for hepatitis A. Single rooms (
B) are unnecessary. The vaccine (
C) is preventive but not the focus of behavioral instruction.
Question 5 of 5
The nurse teaches a client about heat and cold treatments to manage arthritis pain. Which of the following client statements indicates that the client still has a knowledge deficit?
Correct Answer: A
Rationale: Frequent or prolonged use of heat and cold without guidance can cause tissue damage. The other statements reflect appropriate understanding of time limits and safe use.