NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The nurse in the preoperative holding area keeps a client with gastric bleeding in a dimly lit environment with one family member present. What is the primary rationale for these nursing interventions?
Correct Answer: B
Rationale: A dimly lit environment and limited visitors reduce stimulation, minimizing oxygen consumption in a client with gastric bleeding, who may be hypoxic due to anemia. Comfort is secondary, and these measures do not directly stabilize fluids or prevent infection.
Question 2 of 5
Three hours ago a client was thrown from a car into a ditch, and he is now admitted to the emergency department in a stable condition with vital signs within normal limits, alert and oriented with good coloring and an open fracture of the right tibia. For which signs and symptoms should the nurse be especially alert?
Correct Answer: C
Rationale: An open fracture increases the risk of infection and deformity, but shock is a critical systemic complication that can develop rapidly due to blood loss or pain, requiring vigilant monitoring.
Question 3 of 5
The client with Hodgkin's disease develops B symptoms. These manifestations indicate which of the following?
Correct Answer: C
Rationale: B symptoms in Hodgkin's disease include fever (>38°
C), night sweats, and weight loss (>10% of body weight). Night sweats are a hallmark symptom indicating possible disease progression.
Question 4 of 5
The nurse notes a client's preoperative hemoglobin is 9.8 g/dL. What is the priority nursing action?
Correct Answer: B
Rationale: A hemoglobin of 9.8 g/dL indicates anemia, which increases surgical risks. Notifying the surgeon ensures evaluation and possible intervention before proceeding.
Question 5 of 5
A 72-year-old client with cancer needs assistance with paying hospital bills. The nurse should refer the client to a:
Correct Answer: B
Rationale: A social worker can connect the client with financial assistance programs and resources to help manage hospital bills.