NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The nurse identifies deficient knowledge when the client undergoing induction therapy for leukemia makes which of the following statements?
Correct Answer: B
Rationale: During leukemia induction therapy, the client is at high risk for infection due to neutropenia. Pets like cats can carry pathogens (e.g.,
Toxoplasma), and the statement about returning to a cat indicates a knowledge deficit about infection risks. The other statements reflect appropriate self-care measures.
Question 2 of 5
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?
Correct Answer: A
Rationale: Propylthiouracil (PTU) can cause agranulocytosis, a serious condition involving a low white blood cell count, which may present as a sore throat or fever. This requires immediate reporting. The other symptoms are not typically associated with PTU side effects.
Question 3 of 5
A confused client with carbon monoxide poisoning experiences dizziness when ambulating to the bathroom. The nurse should:
Correct Answer: D
Rationale: Regular checks ensure safety and assist with bathroom needs, addressing dizziness and confusion. Side rails and restraints risk injury or agitation. Relying on a roommate is unreliable.
Question 4 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 5 of 5
Before abdominal surgery for an intestinal obstruction, the nurse monitors the client's urine output and finds the total output for the past 2 hours was 35 mL. The nurse then assesses the client's total intake and output over the last 24 hours and notes that he had 2,000 mL of I.V. fluid for intake, 500 mL of drainage from the nasogastric tube, and 700 mL of urine for a total output of 1,200 mL. This would indicate which of the following?
Correct Answer: D
Rationale: The low urine output (35 mL in 2 hours) and a 24-hour output (1,200 mL) less than intake (2,000 mL) suggest inadequate fluid replacement, as the body is retaining fluid or losing it through vomiting and NG drainage. Decreased renal function, pain, or obstruction extension are less directly indicated. CN: Physiological adaptation; CL: Analyze