NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
The nurse is applying a hand mitt restraint for a client with pruritis (see figure). The nurse should be:
Correct Answer: A
Rationale: A physician's order is required for restraints to ensure legal and ethical use, prioritizing patient safety and preventing scratching in pruritus.
Question 2 of 5
A client with acute renal failure has an increase in the serum potassium level. The nurse should monitor the client for:
Correct Answer: A
Rationale: Elevated potassium can cause cardiac arrhythmias, potentially leading to cardiac arrest, requiring close monitoring.
Question 3 of 5
Which intervention is appropriate for a client on hemodialysis?
Correct Answer: A
Rationale: Checking for a thrill ensures fistula patency for dialysis.
Question 4 of 5
After a subtotal gastrectomy, the nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?
Correct Answer: C
Rationale: Nasogastric tube drainage is typically bright red for 12 to 24 hours post-gastrectomy due to surgical bleeding, gradually changing as bleeding subsides.
Question 5 of 5
Which outcome is realistic for a client with a chronic neurological condition?
Correct Answer: B
Rationale: Maintaining functional ability is a realistic goal for managing chronic neurological conditions.