NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The nurse administers theophylline (TheoDur) to a client. To evaluate the effectiveness of this medication, which of the following drug actions should the nurse anticipate?
Correct Answer: C
Rationale: Theophylline relaxes bronchial smooth muscle, relieving bronchospasm in COPD. It does not suppress infection, reduce secretions, or thin sputum.
Question 2 of 5
Thirty people are injured in a train derailment. Ineffective and the transported to the hospital first?
Correct Answer: D
Rationale: A sucking chest wound is a life-threatening condition that can impair breathing and requires immediate intervention, prioritizing this patient for transport over others with less urgent injuries.
Question 3 of 5
A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to:
Correct Answer: B
Rationale: Corns should be professionally removed by a physician or podiatrist to avoid injury or infection, especially in diabetic clients with poor healing.
Question 4 of 5
The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet?
Correct Answer: A
Rationale: Microcytic hypochromic anemia is often caused by iron deficiency. Eggs are a good source of dietary iron, particularly heme iron, which is well-absorbed by the body. Lettuce and citrus fruits do not provide significant iron, though citrus fruits can enhance iron absorption when consumed with iron-rich foods. Cheese is not a significant source of iron.
Therefore, eggs should be included in the diet.
Question 5 of 5
Which of the following findings would suggest pneumothorax in a trauma victim?
Correct Answer: D
Rationale: Absent breath sounds on the affected side suggest pneumothorax due to air in the pleural space. Crackles, wheezing, and dullness are more indicative of other conditions.