NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse in the intensive care unit is giving a report to the nurse in the post-surgical unit about a client who had a gastrectomy. The most effective way to assure essential information about the client is reported is to:
Correct Answer: C
Rationale: A printed checklist individualized for the client ensures all essential information is communicated consistently and reduces the risk of omissions during the report.
Question 2 of 5
A client with ulcerative colitis expresses serious concerns about her career as an attorney because of the effects of stress on ulcerative colitis. Which of the following stress interventions will be most helpful to the client?
Correct Answer: A
Rationale: Reviewing and developing coping mechanisms helps the client manage stress nbr without assuming drastic changes like altering her career or relying on others to adjust her workload. Preparing family for part-time work is premature and not directly stress-focused. CN: Psychosocial adaptation; CL: Synthesize
Question 3 of 5
A client who is scheduled for an ileostomy has an order for oral neomycin (Mycifradin) to be administered before surgery. The intended outcome of administering oral neomycin before surgery is to:
Correct Answer: B
Rationale: Oral neomycin is administered preoperatively to reduce intestinal bacteria, decreasing the risk of infection during bowel surgery. It does not target bladder infections, pneumonia, or immune response directly. CN: Pharmacological and parenteral therapies; CL: Apply
Question 4 of 5
After instructing a client with diverticulosis about appropriate self-care activities, which of the following client comments indicate effective teaching? Select all that apply.
Correct Answer: C,D,E
Rationale: Effective teaching is indicated by the client understanding the need for a high-fiber diet (
C), adequate fluid intake (
D), and regular exercise (E) to manage diverticulosis. Diverticulosis cannot be cured (
A), and cathartic laxatives (
B) are not recommended as they can irritate the bowel. CN: Health promotion and maintenance; CL: Evaluate
Question 5 of 5
A client with colon cancer is scheduled for chemotherapy post-resection. Which of the following should the nurse monitor for as a common side effect of chemotherapy?
Correct Answer: B
Rationale: Nausea and vomiting are common side effects of chemotherapy due to its impact on rapidly dividing cells, including those in the gastrointestinal tract. Hypertension, hyperglycemia, and joint pain are less commonly associated with chemotherapy. CN: Pharmacological and parenteral therapies; CL: Analyze