Questions 108

NCLEX-RN

Home > NCLEX-RN > RN Medical Surgical Nursing > NCLEX RN Medical Surgical Questions and Answers
NCLEX-RN Test Bank

NCLEX RN Medical Surgical Questions and Answers Questions

Extract:


Question 1 of 5

The nurse administers a bolus tube feeding to a client with cancer. Which of the following nursing interventions is most appropriate to decrease the risk of aspiration?

Correct Answer: C

Rationale: Sitting upright in a chair for 1 hour after a bolus tube feeding minimizes aspiration risk by promoting gastric emptying and reducing reflux.

Question 2 of 5

Which of the following should lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?

Correct Answer: A

Rationale: Fat embolism commonly presents with acute respiratory distress, a life-threatening complication of femoral fractures.

Question 3 of 5

A 42-year-old client with breast cancer is concerned that her husband is depressed by her diagnosis. Which of the following changes in her husband's behavior may confirm her fears?

Correct Answer: D

Rationale: Sleep disturbances are a common symptom of depression, suggesting the husband may be struggling emotionally with his wife's diagnosis.

Question 4 of 5

A nurse has two clients that have an order to receive a blood transfusion of packed red blood cells at the same time. The first client's blood pressure dropped from the preoperative value of 120/80 mm Hg to a postoperative value of 100/50. The second client is 58 years old and is hospitalized because he developed dehydration and anemia following pneumonia. After checking the patency of their I.V. lines and vital signs, which should the nurse do next?

Correct Answer: C

Rationale: The first client's significant blood pressure drop (120/80 to 100/50) indicates potential hypovolemia or bleeding, making their transfusion a priority to restore volume and oxygen-carrying capacity. The second client's condition is less urgent. The nurse should call for and hang the first client's transfusion first.

Question 5 of 5

A client who has undergone a subtotal thyroidectomy is subject to complications in the first 48 hours after surgery. The nurse should obtain and keep at the bedside equipment to:

Correct Answer: D

Rationale: Tracheotomy equipment is essential due to the risk of airway obstruction from swelling or hemorrhage post-thyroidectomy.

Similar Questions

A client has been admitted to the coronary care unit. The nurse observes third-degree heart block at a rate of 35 bpm on the client's cardiac monitor. The client has a blood pressure of 90/60. The nurse should take which of the following actions first?
Which of the following nursing interventions would be most helpful in making the respiratory effort of a client with metastatic lung cancer more efficient?
The nurse is preparing a client for a paracentesis. The nurse should:
The nurse is caring for a client who is using a portable wound suction unit (see figure). Six hours following surgery, the drainage unit is full. The nurse should do which of the following?
The nurse is caring for a client with a new colostomy and notices the client is reluctant to participate in self-care. Which intervention should the nurse implement first?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days