NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a 60-year-old male who has hoarseness. The nurse should conduct a focused assessment to determine:
Correct Answer: D
Rationale: Hoarseness in a 60-year-old male is concerning for head and neck cancers, particularly laryngeal cancer. A focused assessment should prioritize tobacco and alcohol use, as these are major risk factors.
Question 2 of 5
Which of the following factors places a client at greatest risk for skin cancer?
Correct Answer: A
Rationale: Fair skin and chronic sun exposure increase skin cancer risk due to higher UV sensitivity and cumulative damage. Dark skin offers some protection.
Question 3 of 5
A client is admitted to the hospital after sustaining burns to the chest, abdomen, right arm, and right leg. The shaded areas in the illustration indicate the burned areas on the client’s body. Using the “rule of nines,” the nurse would determine that about what percentage of the client’s body surface has been burned?
Correct Answer: C
Rationale: According to the rule of nines, this client has sustained burns on about 45% of the body surface. The right arm is calculated as being 9%, the right leg is 18%, and the anterior trunk is 18%, for a total of 45%.
Question 4 of 5
A client with osteoporosis is prescribed alendronate (Fosamax). Which instruction should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation.
Question 5 of 5
What is the rationale that supports multidrug treatment for clients with tuberculosis?
Correct Answer: D
Rationale: Multidrug therapy for tuberculosis prevents the development of resistant bacterial strains by targeting different aspects of bacterial growth. Potentiation, reduced adverse effects, or lower dosages are not the primary rationale.