NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The nurse explains to the client that a biopsy of the enlarged lymph node is important because, if Hodgkin's disease is present, the histologic examination will reveal which of the following?
Correct Answer: B
Rationale: Hodgkin's disease is diagnosed by the presence of Reed-Sternberg cells, large multinucleated cells, in the lymph node biopsy. Tay-Sachs and Duchenne's cells are unrelated to Hodgkin's.
Question 2 of 5
A hospice client's family asks how they will know when death is imminent. The nurse should explain that signs include:
Correct Answer: B
Rationale: Cheyne-Stokes respirations, characterized by alternating periods of apnea and deep breathing, are a common sign of imminent death.
Question 3 of 5
The client's wife asks the nurse whether the I.V. infusion is meeting her husband's nutritional needs because he has vomited several times. The nurse's response should be based on the knowledge that 1 L of 5% dextrose in normal saline solution delivers:
Correct Answer: A
Rationale: One liter of 5% dextrose provides 50 g of dextrose, yielding approximately 170 calories, insufficient for full nutritional needs.
Question 4 of 5
Which of the following is a priority goal for the client with chronic obstructive pulmonary disease (COPD)?
Correct Answer: A
Rationale: Maintaining functional ability is a priority in COPD to preserve quality of life and independence. Chest pain is not a primary issue. Increasing CO2 is harmful. Treating infections is important but not the top goal.
Question 5 of 5
When teaching the client with myocardial infarction (MI), the nurse explains that the pain associated with MI is caused by:
Correct Answer: D
Rationale: MI pain results from myocardial ischemia due to insufficient oxygen delivery to the heart muscle, caused by coronary artery occlusion.