NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The client with Cushing's disease needs to modify dietary intake to control symptoms. In addition to increasing protein, which strategy would be most appropriate?
Correct Answer: B
Rationale: Restricting sodium helps manage fluid retention and hypertension in Cushing's disease due to aldosterone excess.
Question 2 of 5
During an initial assessment of a client diagnosed with vasospastic disorder (Raynaud's phenomenon), the nurse notes a sudden color change to white in the fingers. The nurse should first assess:
Correct Answer: B
Rationale: A sudden color change to white in Raynaud's indicates vasospasm. Assessing the radial pulse first confirms whether blood flow is present despite the vasospasm, guiding further action. Cyanosis, SpO2, and blood pressure are secondary, as pulse assessment is more immediate and specific.
Question 3 of 5
What is a goal of care for a client with acute renal failure?
Correct Answer: A
Rationale: Maintaining adequate urine output indicates improving renal function.
Question 4 of 5
The nurse should assess an older adult with macular degeneration for:
Correct Answer: A
Rationale: Macular degeneration primarily affects the macula, leading to loss of central vision, which impairs activities like reading and recognizing faces.
Question 5 of 5
The nurse is teaching a client with osteoporosis about fall prevention. Which of the following should be included? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Removing rugs, installing grab bars, ensuring lighting, and exercising prevent falls. High-heeled shoes increase fall risk.