Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Med Surg Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client with anemia. In order to plan nursing care, the nurse should focus the assessment on which of the following?

Correct Answer: C

Rationale: Cold intolerance is a common symptom of anemia due to reduced oxygen-carrying capacity, and assessing it helps plan supportive care.

Question 2 of 5

A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for:

Correct Answer: C

Rationale: Crohn's disease with diarrhea can lead to hypokalemia due to potassium loss in stool. Hyperalbuminemia and hypercalcemia are not typical, and thrombocytopenia is less directly related to these symptoms. CN: Physiological adaptation; CL: Analyze

Question 3 of 5

The client with chronic pancreatitis should be monitored closely for the development of which of the following disorders?

Correct Answer: D

Rationale: Chronic pancreatitis damages pancreatic tissue, impairing insulin production and increasing the risk of diabetes mellitus (
D). Cholelithiasis (
A), hepatitis (
B), and irritable bowel syndrome (
C) are less directly related.

Question 4 of 5

The nurse should ask all clients age 65 or older who are having surgery which question?

Correct Answer: B

Rationale: Asking about an advance directive ensures the client's wishes are documented, especially critical for older adults facing surgical risks, to guide care in case of incapacity.

Question 5 of 5

A client with an ileal conduit reports skin irritation around the stoma. What should the nurse recommend?

Correct Answer: A

Rationale: A skin barrier cream protects the peristomal skin from urine irritation, promoting healing and preventing further breakdown.

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