NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The nurse in the postanesthesia care unit notes that one of the client's pupils is larger than the other. The nurse should:
Correct Answer: D
Rationale: Unequal pupils post-surgery suggest a neurological issue, such as increased intracranial pressure or stroke. Calling the surgeon ensures prompt evaluation and intervention.
Question 2 of 5
A common abnormal laboratory result associated with the development of peripheral vascular disease (PVD) is:
Correct Answer: B
Rationale: High serum lipid levels, particularly elevated low-density lipoprotein (LDL) cholesterol, are a major risk factor for atherosclerosis, which underlies PVD. Lipid accumulation in arterial walls leads to plaque formation, narrowing vessels and reducing blood flow. Calcium levels are not directly associated with PVD, and low lipid levels are not a risk factor.
Question 3 of 5
After surgery for head and neck cancer, a client has a permanent tracheostomy. The nurse should teach the client and family about the importance of:
Correct Answer: A,C,D
Rationale: Tracheostomy site care (
A), monitoring for skin breakdown (
C), and using humidifiers (
D) are critical to prevent infection, maintain skin integrity, and keep secretions manageable.
Question 4 of 5
Which teaching point is critical for a client with a new diagnosis of epilepsy?
Correct Answer: A
Rationale: Avoiding driving until seizures are controlled is critical for safety in epilepsy management.
Question 5 of 5
The nurse is caring for a 78-year-old male with lung cancer who is receiving chemotherapy. The client states he is not eating well but otherwise feels healthy. Which meal suggestion would be best for this client?
Correct Answer: C
Rationale: Broiled chicken, green beans, and cottage cheese provide high protein and nutrients with low fat, which is ideal for a client with poor appetite during chemotherapy to support nutrition without being heavy.