Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Medical Surgical Questions Questions

Extract:


Question 1 of 5

The nurse anticipates that a client who has received propofol (Diprivan) as the induction and maintenance agent for general anesthesia will most likely experience:

Correct Answer: A

Rationale: Propofol is associated with minimal postoperative nausea and vomiting, making it a preferred agent for many surgeries, especially outpatient procedures.

Question 2 of 5

The nurse is reviewing a client's chart and notes a discrepancy in the TPN order. Which action should the nurse take first?

Correct Answer: B

Rationale: Contacting the prescribing physician for clarification is the first action to resolve a discrepancy in a TPN order, ensuring safety and accuracy. Adjusting the rate, continuing the current rate, or documenting without clarification risks errors. CN: Safety and infection control; CL: Synthesize

Question 3 of 5

The nurse notices that a client's heart rate decreases from 63 to 50 beats per minute on the monitor. The nurse should first:

Correct Answer: D

Rationale: A heart rate of 50 bpm may indicate bradycardia. Taking the blood pressure first assesses hemodynamic stability, guiding whether immediate intervention (e.g., atropine or pacing) is needed.

Question 4 of 5

A client with an ileal conduit reports skin irritation around the stoma. What should the nurse recommend?

Correct Answer: A

Rationale: A skin barrier cream protects the peristomal skin from urine irritation, promoting healing and preventing further breakdown.

Question 5 of 5

A client wakes up in the postanesthesia care unit and sees a drain with bright red fluid in it exiting from her total hip incision. She asks the nurse, 'Is this supposed to be there?' Which of the following represents the nurse's best response?

Correct Answer: A

Rationale: Explaining that the drain removes blood and fluid for healing reassures the client and accurately describes the purpose of the drain in a total hip incision.

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