NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?
Correct Answer: D
Rationale: Cyanosis in pneumonia results from decreased blood oxygenation due to impaired gas exchange in the lungs. Cardiac output, pleural effusion, and peripheral circulation may contribute but are not primary causes.
Question 2 of 5
An adult client with type 2 diabetes is taking metformin (Glucophage) 1,000 mg two times every day. After the nurse provides instructions regarding the interaction of alcohol and metformin, the nurse evaluates that the client understands the instructions when the client says:
Correct Answer: A
Rationale: Alcohol combined with metformin increases the risk of lactic acidosis, a serious complication. The client should avoid alcohol while taking metformin.
Question 3 of 5
On the fourth day after surgery, a client has a postoperative wound infection. Which of the following should the nurse assess? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Signs of wound infection include redness/swelling (
B), fever (
C), pain (
D), and warmth (E). A WBC of 10,000/mm³ (
A) is normal and not indicative of infection.
Question 4 of 5
In preparing the client and the family for a postoperative stay in the intensive care unit (ICU) after open heart surgery, the nurse should explain that:
Correct Answer: D
Rationale: Pain management is a priority post-open heart surgery, and clients receive medications to ensure comfort in the ICU.
Question 5 of 5
Which of the following individuals are at risk for acquiring acute lymphocytic leukemia (ALL)? The client who is:
Correct Answer: A
Rationale: ALL is most common in children and young adults, with a peak incidence in those aged 20–30 years. Older adults (40–70 years) are more likely to develop AML or CLL.