NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The nurse is administering a saturated solution of potassium iodide (SSKI). The nurse should:
Correct Answer: C
Rationale: SSKI has an unpleasant taste and can stain teeth. Diluting it with water, milk, or juice and using a straw minimizes discomfort and staining.
Question 2 of 5
A client with diverticulitis has developed peritonitis following diverticular rupture. The nurse should assess the client to determine which of the following? Select all that apply.
Correct Answer: B,C
Rationale: In peritonitis, the nurse should percuss the liver for lack of dullness (
B), indicating free air, and monitor vital signs for fever, tachypnea, and tachycardia (not bradycardia) (
C). Resonance and tympany, polyphagia, polydipsia, and bowel sound frequency are less specific for peritonitis. CN: Physiological adaptation; CL: Analyze
Question 3 of 5
A client is admitted to the emergency department complaining of severe abdominal pain. A radiograph reveals a large abdominal aortic aneurysm. The primary goal at this time is to:
Correct Answer: C
Rationale: A large abdominal aortic aneurysm with severe pain suggests impending rupture, requiring emergency surgery to prevent catastrophic bleeding. Preparing the client for surgery is the primary goal, as it addresses the life-threatening condition. Circulation, pain, and breathing exercises are managed perioperatively.
Question 4 of 5
A client with diabetes is taking insulin lispro (Humalog) injections. The nurse should advise the client to eat:
Correct Answer: A
Rationale: Insulin lispro is rapid-acting, with onset within 15 minutes. Eating within 10–15 minutes prevents hypoglycemia by matching food intake to insulin action.
Question 5 of 5
The nurse should assess a client with Addison's disease for which of the following?
Correct Answer: B
Rationale: Orthostatic hypotension is common in Addison's disease due to aldosterone deficiency, causing sodium and fluid loss.