NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse evaluates the effectiveness of the client's postoperative plan of care. Which of the following would be an expected outcome for a client with an ileal conduit?
Correct Answer: D
Rationale: Frequent pouch emptying is an expected outcome, preventing complications like leakage or infection. Aspirin is unsafe, and stoma catheterization is not typical.
Question 2 of 5
What diet should be implemented for a client who is in the early stages of cirrhosis?
Correct Answer: A
Rationale: A high-calorie, high-carbohydrate diet (
A) supports energy needs in early cirrhosis. High-protein (
B) may worsen encephalopathy. Low-fat, low-protein (
C) is too restrictive. Low-sodium (
D) is relevant for ascites, not early cirrhosis.
Question 3 of 5
The client with colon cancer has an abdominal-perineal resection with a colostomy. Which of the following nursing interventions is most appropriate for this client in the postoperative period?
Correct Answer: B
Rationale: Appropriate nursing interventions after an abdominal-perineal resection with a colostomy include assisting the client with warm sitz baths three to four times a day to clean the perineal incision. The client will be more comfortable assuming a side-lying position because of the perineal incision. It would be inappropriate to administer milk of magnesia to stimulate colostomy activity. Stool passage will begin as peristalsis returns. It is not necessary to be available to change the ostomy pouch to assess the stoma. The ostomy pouch should be transparent to allow easy observation of the stoma and drainage. CN: Physiological adaptation; CL: Synthesize
Question 4 of 5
A family member asks the nurse why their loved one with end-stage liver cancer is so restless. The nurse's best response is:
Correct Answer: C
Rationale: Restlessness is a common symptom in the dying process, often due to metabolic changes or psychological factors, and explaining this normalizes the family's experience.
Question 5 of 5
The nurse is planning a staff development program related to infection control. Which of the following precautions should the nurse indicate as essential when caring for clients with hepatitis A?
Correct Answer: D
Rationale: Hepatitis A is fecal-oral transmitted, so gloves (
D) are essential during direct care to prevent contact with contaminated materials. Gowns (
A), masks (
B), and private rooms (
C) are not required.