NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The nurse has asked the nursing assistant to ambulate a client with Parkinson's disease. The nurse observes the nursing assistant pulling on the client's arms to get the client to walk forward. The nurse should:
Correct Answer: B
Rationale: Teaching the client to march in place helps overcome freezing gait, a common Parkinson's symptom. Pulling on arms is unsafe, returning to bed is unnecessary, and muscle relaxants are inappropriate.
Question 2 of 5
What is a key nursing intervention for a client receiving peritoneal dialysis?
Correct Answer: A
Rationale: Peritonitis is a serious complication of peritoneal dialysis, requiring vigilant monitoring.
Question 3 of 5
A client has chest pain rated at 8 on a 10 point visual analog scale. The 12-lead electrocardiogram reveals ST elevation in the inferior leads and Troponin levels are elevated. What is the highest priority for nursing management of this client at this time?
Correct Answer: D
Rationale: The client is experiencing an acute myocardial infarction, indicated by ST elevation and elevated troponin. Reducing pain and myocardial oxygen demand is critical to minimize further cardiac damage.
Question 4 of 5
Which of the following statements should the nurse include in the teaching session when preparing a client for arthrocentesis? Select all that apply.
Correct Answer: A,B
Rationale: Arthrocentesis involves using a needle and syringe to withdraw fluid, often with a local anesthetic for comfort. The procedure may be painful, and rest, not activity, is typically recommended post-procedure. A compression bandage is not standard.
Question 5 of 5
Which of the following discharge instructions would be appropriate for a client who has had a laparoscopic cholecystectomy?
Correct Answer: B
Rationale: Returning to work within 1 week (
B) is reasonable for laparoscopic cholecystectomy, depending on recovery. Showering is typically allowed after 24-48 hours (A is incorrect). Dressings can often be removed sooner (
C), and acetaminophen is for pain, not fever control (
D).