Questions 108

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NCLEX RN Medical Surgical Questions Questions

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Question 1 of 5

The nurse is assessing a client who is in the early stages of cirrhosis of the liver. Which focused assessment is appropriate?

Correct Answer: D

Rationale: Jaundice (
D) is a common early sign of cirrhosis due to impaired bilirubin metabolism. Peripheral edema (
A) and ascites (
B) occur later. Anorexia (
C) is less specific.

Question 2 of 5

Which of the following is contraindicated for a client with seizure precautions?

Correct Answer: C

Rationale: Using a glass thermometer is contraindicated due to the risk of breakage and injury during a seizure. Personal hygiene, wearing own clothing, and being out of bed are safe and promote independence.

Question 3 of 5

The nurse should teach the neutropenic client and the family to avoid which of the following?

Correct Answer: A

Rationale: Neutropenic clients should avoid suppositories or enemas, as they can cause rectal trauma and introduce infections. HEPA masks, perianal care, and oral care are recommended to reduce infection risk.

Question 4 of 5

The client with a fractured femur is upset and agitated about her injury and its treatment. She says, 'How can I stay like this for weeks? I can't even move!' Which of the following is the most appropriate nursing diagnosis?

Correct Answer: B

Rationale: Ineffective coping reflects the client's emotional distress and agitation due to immobility.

Question 5 of 5

Which symptom suggests a complication post-renal surgery?

Correct Answer: A

Rationale: Low urine output (25 mL/hour) may indicate obstruction or renal impairment.

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