NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The client with Ménière'sdisease is instructed to modify his diet. The nurse should explain that the most frequently recommended diet modification for the client's disease is:
Correct Answer: A
Rationale: A low-sodium diet is recommended for Ménière'sdisease to reduce fluid retention in the inner ear, which can decrease the frequency and severity of vertigo attacks.
Question 2 of 5
A client has undergone a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Laparoscopic cholecystectomy does not involve a bile bag, so option A is incorrect. Patients should monitor for signs of complications, such as bile-colored drainage, which could indicate a bile leak, making option B correct. Resuming normal activities immediately (
C) is unsafe due to recovery needs, and avoiding pain medications (
D) is unnecessary as pain management is often required.
Question 3 of 5
A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so hyperkalemia (
B) is a key adverse effect. Constipation (
A), irregular pulse (
C), and dysuria (
D) are not typical.
Question 4 of 5
The nurse is monitoring a client post-insertion of a nasogastric tube for an intestinal obstruction. Which finding indicates the tube is functioning correctly?
Correct Answer: A
Rationale: Clear, watery output from a nasogastric tube indicates it is effectively decompressing the intestine by removing fluid and gas. Bright red blood suggests bleeding, no output may indicate a blockage, and thick drainage is not typical. CN: Physiological adaptation; CL: Evaluate
Question 5 of 5
A client with acute appendicitis develops a fever, tachycardia, and hypotension. Based on these assessment findings, the nurse should further assess the client for which of the following complications?
Correct Answer: D
Rationale: Fever, tachycardia, and hypotension in acute appendicitis suggest peritonitis, a complication from possible appendiceal rupture. Deficient fluid volume, obstruction, or ischemia are less directly indicated by these signs. CN: Physiological adaptation; CL: Analyze