NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
The client with peripheral vascular disease has been prescribed diltiazem (Cardizem). The nurse should determine the effectiveness of this medication by assessing the client for:
Correct Answer: D
Rationale: Diltiazem, a calcium channel blocker, promotes vasodilation in PVD, improving blood flow and reducing claudication symptoms. The nurse assesses for vasodilation (e.g., reduced pain, warmer extremities). It does not primarily relieve anxiety, cause sedation, or promote vasoconstriction.
Question 2 of 5
A nurse is caring for a client who is undergoing chemotherapy. Current laboratory values are noted on the chart. Which action would be most appropriate for the nurse to implement?
Correct Answer: B
Rationale: With a low white blood cell count (1,600/mm³) and absolute neutrophil count (<1,000/mm³), hand washing before and after entering the room is critical to prevent infection in this neutropenic client.
Question 3 of 5
A nurse is teaching a 62-year-old female who has had a left modified radical mastectomy with axillary node dissection about lymphedema. The nurse should tell the client that lymphedema occurs:
Correct Answer: C
Rationale: Lymphedema can occur at any time after mastectomy with lymph node dissection due to disrupted lymphatic drainage, or it may never occur.
Question 4 of 5
Which of the following terms describes the condition of a client with the disease in dosage to maintain adequate analgesia?
Correct Answer: D
Rationale: Drug tolerance occurs when a client requires increased doses to maintain analgesia due to the body's adaptation to the medication.
Question 5 of 5
The nurse is assessing clients at a health fair. Which client is at greatest risk for coronary artery disease?
Correct Answer: D
Rationale: Obesity and elevated LDL (188) are significant risk factors for coronary artery disease. The other clients have lower-risk profiles due to younger age, smoking cessation, or controlled lipids.