NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
The client with an above-the-knee amputation is to use crutches while his prosthesis is being adjusted. In which of the following exercises should the nurse instruct the client to best prepare him for using crutches?
Correct Answer: B
Rationale: Isometric shoulder exercises strengthen the upper body, essential for crutch walking.
Question 2 of 5
A 68-year-old female client on day 2 after hip surgery has no cardiac history but reports having chest heaviness. The first nursing action should be to:
Correct Answer: A
Rationale: Assessing the characteristics of chest heaviness clarifies whether it is cardiac (e.g., angina) or non-cardiac, guiding further actions like oxygen or physician notification.
Question 3 of 5
After a client who has had a laparoscopic cholecystectomy receives discharge instructions, which of the following client statements would indicate that the teaching has been successful? Select all that apply.
Correct Answer: C,E
Rationale: Right shoulder pain (
C) can occur due to referred pain from diaphragmatic irritation. Washing the puncture site with mild soap and water (E) is correct for hygiene. Resuming a normal diet immediately (
A) is incorrect; a low-fat diet is advised. Avoiding driving for 4 weeks (
B) is excessive; 1-2 weeks is typical. Bed rest for 2-3 days (
D) is unnecessary as early ambulation is encouraged.
Question 4 of 5
Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?
Correct Answer: C
Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.
Question 5 of 5
The client with an above-the-knee amputation is to use crutches while his prosthesis is being adjusted. In which of the following exercises should the nurse instruct the client to best prepare him for using crutches?
Correct Answer: B
Rationale: Isometric shoulder exercises strengthen the upper body, essential for crutch walking.