NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The nurse caring for a client who is receiving radiation therapy for laryngeal cancer should assess the client for which of the following?
Correct Answer: C
Rationale: Dysphagia (difficulty swallowing) is a common side effect of laryngeal radiation due to inflammation and irritation of the throat and esophagus.
Question 2 of 5
The client has just had a total knee replacement for severe osteoarthritis. Which of the following assessment findings should lead the nurse to suspect possible nerve damage?
Correct Answer: A
Rationale: Numbness indicates potential nerve damage, requiring urgent evaluation.
Question 3 of 5
College freshman are participating in a study abroad program. When teaching them about hepatitis B, the nurse should instruct the students on:
Correct Answer: D
Rationale: Hepatitis B is transmitted through blood and body fluids, so safe sexual practices (
D) are critical for prevention. Water sanitation (
A) is relevant for hepatitis A, single rooms (
B) are unnecessary, and while vaccination (
C) is important, the question focuses on behavioral instruction.
Question 4 of 5
Thirty-two children are brought to the emergency department after a school bus accident. Two children were killed along with the three people in the car that caused the crash. Before the victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency, which step should the nurse anticipate carrying out?
Correct Answer: A
Rationale: A crisis response team is essential to provide psychological support to victims, families, and staff following a traumatic event like a school bus accident with fatalities.
Question 5 of 5
Postoperative nursing management of the client following a radical neck dissection for laryngeal cancer requires:
Correct Answer: D
Rationale: Frequent suctioning of the laryngectomy tube prevents mucus buildup and maintains airway patency. Complete bed rest is unnecessary; early mobility is encouraged. Vital signs should be monitored more frequently than once per shift. The third option is unclear but likely incorrect.