NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
The nurse interviews a 22-year-old female client who is scheduled for abdominal surgery the following week. The client is obese and uses estrogen-based oral contraceptives. This client is at high risk for development of:
Correct Answer: D
Rationale: Obesity and estrogen-based oral contraceptives increase the risk of thrombophlebitis by promoting hypercoagulability and venous stasis, especially during surgery. Atherosclerosis, diabetes, and Raynaud's are less directly related to these risk factors.
Question 2 of 5
The nurse is reading the results of a tuberculin skin test (see figure). The nurse should interpret the results as:
Correct Answer: C
Rationale: A positive tuberculin skin test (induration ‰¥10 mm in most cases) indicates exposure to Mycobacterium tuberculosis. Without the figure, the context suggests a positive result based on typical test interpretation.
Question 3 of 5
The nurse is assessing a client who has had a myocardial infarction (MI). The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifies this rhythm as which of the following?
Correct Answer: N/A
Rationale: Without the ECG strip, the rhythm cannot be identified. This question is incomplete in the provided document.
Question 4 of 5
When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these feelings are:
Correct Answer: D
Rationale: Low thyroid hormone levels in hypothyroidism can cause depression and sadness, which typically improve with thyroid hormone replacement therapy.
Question 5 of 5
A client who is recovering from hepatitis A has fatigue and malaise. The client asks the nurse, 'When will my strength return?' Which of the following responses by the nurse is most appropriate?
Correct Answer: D
Rationale: Fatigue is common during recovery from hepatitis A and typically resolves in 2-4 months (
D). Secondary infection (
A) is not indicated. Fatigue is not drug-related (
B), and increasing activity prematurely (
C) may worsen symptoms.