NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse develops a plan of care for a client in the initial postoperative period following a lumbar laminectomy. Which of the following activities is contraindicated?
Correct Answer: D
Rationale: Prolonged sitting stresses the surgical site and is contraindicated post-laminectomy.
Question 2 of 5
A client with detachment of the retina is to patch both eyes. The expected outcome of patching is to:
Correct Answer: A
Rationale: Patching both eyes reduces rapid eye movements, which could worsen retinal detachment by preventing further stress on the retina.
Question 3 of 5
Which of the following home care instructions would be appropriate for a client with a laryngectomy?
Correct Answer: B
Rationale: Adequate humidity prevents stoma crusting and maintains airway moisture. Mouth care frequency may need to be higher. Diet should be tailored to swallowing ability, not necessarily soft or bland. Physical activity should be encouraged, not limited, unless contraindicated.
Question 4 of 5
When giving discharge instructions to the client with vasospastic disorder (Raynaud's phenomenon), the nurse should explain that the expected outcome is a total of the symptoms by:
Correct Answer: C
Rationale: The expected outcome in Raynaud's is increased blood supply to the affected areas by reducing vasospasm, alleviating symptoms like numbness and pallor. Sympathetic nervous system influence, analgesia, and monoamine oxidase are not directly targeted.
Question 5 of 5
The nurse develops a plan of care for a client in the initial postoperative period following a lumbar laminectomy. Which of the following activities is contraindicated?
Correct Answer: D
Rationale: Prolonged sitting stresses the surgical site and is contraindicated post-laminectomy.