Questions 108

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NCLEX RN Medical Surgical Practice Questions Questions

Extract:


Question 1 of 5

The most important long-term goal for a client with hypertension would be to:

Correct Answer: C

Rationale: Committing to long-term therapy (e.g., medication, lifestyle changes) is critical for sustained blood pressure control and prevention of complications.

Question 2 of 5

Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?

Correct Answer: C

Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.

Question 3 of 5

A client with chest pain is prescribed intravenous nitroglycerin (Tridil). Which assessment is of greatest concern for the nurse initiating the nitroglycerin drip?

Correct Answer: B

Rationale: Nitroglycerin causes vasodilation, which can lower blood pressure. A blood pressure of 88/46 indicates hypotension, a significant concern as it may compromise perfusion, making it the priority assessment.

Question 4 of 5

Which outcome is realistic for a client with a chronic neurological condition?

Correct Answer: B

Rationale: Maintaining functional ability is a realistic goal for managing chronic neurological conditions.

Question 5 of 5

As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health, the nurse assesses her understanding of her current sexual functioning. Which of the following statements by the client indicates she understands her current ability?

Correct Answer: B

Rationale: Quadriplegia may impair sensation and orgasm but does not preclude sexual activity, which the client correctly understands.

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