Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Medical Surgical Nursing NCLEX RN Questions Questions

Extract:


Question 1 of 5

The client with rheumatoid arthritis tells the nurse, 'I have a friend who took gold shots and had a wonderful response. Why didn't my physician let me try that?' Which of the following responses by the nurse would be most appropriate?

Correct Answer: D

Rationale: Individual responses to treatments vary due to differences in disease severity, comorbidities, and side effect profiles. This response educates the client without dismissing their concerns.

Question 2 of 5

What should the nurse assess first in a client with a recent head injury?

Correct Answer: A

Rationale: Pupil response is assessed first to detect neurological changes, such as increased intracranial pressure, in a head injury.

Question 3 of 5

The nurse evaluates the effectiveness of the client's postoperative plan of care. Which of the following would be an expected outcome for a client with an ileal conduit?

Correct Answer: D

Rationale: Frequent pouch emptying is an expected outcome, preventing complications like leakage or infection. Aspirin is unsafe, and stoma catheterization is not typical.

Question 4 of 5

A 62-year-old male client with prostate cancer is scheduled for a radical prostatectomy. He expresses concern about how the surgery will affect his sexual function. The nurse's best response is to:

Correct Answer: B

Rationale: Radical prostatectomy often affects the nerves responsible for erections, making erectile dysfunction a possible side effect. Discussing this honestly prepares the client for potential outcomes and management options.

Question 5 of 5

A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to:

Correct Answer: A

Rationale: Patching both eyes reduces rapid eye movements, which could worsen retinal detachment by preventing further stress on the retina.

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