NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse in the perioperative area is preparing a client for surgery and notices that the client looks sad. The client says, 'I'm scared of having cancer. It's so horrible and I brought it on myself. I should have quit smoking years ago.' What would be the nurse's best response to the client?
Correct Answer: A
Rationale: Acknowledging fear and exploring specific concerns ('What is it about cancer that you're afraid of?') validates emotions and opens communication. Other responses dismiss feelings, speculate on causation, or focus on guilt, which are less therapeutic.
Question 2 of 5
Which of the following dietary measures would be useful in preventing esophageal reflux?
Correct Answer: A
Rationale: Small, frequent meals reduce gastric distention and lower the risk of reflux compared to large meals. The other options are less effective or may worsen symptoms.
Question 3 of 5
A nurse teaches a client experiencing heartburn to take 1 ½ oz of Maalox when symptoms appear. How many milliliters should the client take?
Correct Answer: 45 mL
Rationale:
To convert ounces to milliliters: 1.5 oz × 30 mL/oz = 45 mL. The client should take 45 milliliters of Maalox.
Question 4 of 5
A client is transferred to his room from the intensive care unit after a craniotomy for treatment of a malignant brain tumor in the occipital region. The nurse should question which of these orders?
Correct Answer: A
Rationale: Ibuprofen (an NSAI
D) should be questioned post-craniotomy due to the risk of bleeding, which can be exacerbated by its antiplatelet effects in the context of recent brain surgery.
Question 5 of 5
A client with acute renal failure has edema. The nurse should:
Correct Answer: B
Rationale: Fluid restriction helps manage edema in acute renal failure.