NCLEX-RN
Med Surg RN NCLEX 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
Following a gastrectomy, the nurse should position the client in which of the following positions?
Correct Answer: D
Rationale: Fowler's position (semi-upright) promotes lung expansion, reduces aspiration risk, and aids drainage post-gastrectomy. The other positions are less optimal for postoperative recovery.
Question 3 of 5
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?
Correct Answer: D
Rationale: Cyanosis in pneumonia results from decreased blood oxygenation due to impaired gas exchange in the lungs. Cardiac output, pleural effusion, and peripheral circulation may contribute but are not primary causes.
Question 4 of 5
A client treated for hypertension with furosemide (Lasix), atenolol (Tenormin), and ramipril (Altace) develops a second degree heart block Mobitz type 1. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Atenolol, a beta-blocker, can exacerbate heart block by slowing conduction. Withholding it and consulting the physician is the priority.
Question 5 of 5
The nurse has been assigned to provide care for four clients at the beginning of the day shift. In what order should the nurse assess these clients?
Correct Answer: C
Rationale: The client with sudden onset of acute stomach pain (
C) should be assessed first, as this could indicate a serious complication like ulcer perforation. The other clients' conditions are less urgent: the hiatal hernia client is stable, the NPO client is awaiting tests, and the jaw surgery client's pain is expected postoperatively.