Questions 108

NCLEX-RN

Home > NCLEX-RN > RN Medical Surgical Nursing > Medical Surgical Nursing NCLEX RN Questions
NCLEX-RN Test Bank

Medical Surgical Nursing NCLEX RN Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client with heart failure who is receiving home health care monitoring using electronic devices including scales, blood pressure monitoring, and structured questions to which the client responds daily on a touch-screen monitor. The nurse reviews data obtained within the last 3 days. The nurse calls the client to follow up. The nurse should ask the client which of the following first:

Correct Answer: B

Rationale: A 5-lb weight gain in 3 days and rising blood pressure suggest fluid retention. Asking about shortness of breath first assesses for pulmonary edema, a serious complication.

Question 2 of 5

Which of the following assessments should be a priority immediately after nasal surgery?

Correct Answer: C

Rationale: Respiratory status is the priority post-nasal surgery due to the risk of airway obstruction from packing or swelling. Pain, ecchymosis, and fluid balance are important but secondary to airway patency.

Question 3 of 5

The nurse should tell the client to do which of the following when teaching the client about taking oral glucocorticoids?

Correct Answer: D

Rationale: Taking glucocorticoids with meals or an antacid reduces gastrointestinal irritation, a common side effect.

Question 4 of 5

The client has returned to the surgery unit from the Post Anesthesia Care Unit (PACU). The client's respirations are rapid and shallow, the pulse is 120, and the blood pressure is 88/52. The client's level of consciousness is deteriorating. The nurse should do which of the following first?

Correct Answer: D

Rationale: Rapid, shallow respirations, tachycardia, hypotension, and deteriorating consciousness suggest shock or respiratory distress. Calling the Rapid Response Team ensures immediate intervention.

Question 5 of 5

A client with bladder cancer receives intravesical chemotherapy. The nurse should:

Correct Answer: A

Rationale: Hematuria is a potential side effect of intravesical chemotherapy, requiring monitoring.

Similar Questions

Which of the following interventions should the nurse anticipate in a client who has been diagnosed with acute respiratory distress syndrome (ARDS)?
A client with diabetes mellitus comes to the clinic for a regular 3-month follow-up appointment. The nurse notes several small bandages covering cuts on the client's hands. The client says, 'I'm so clumsy. I'm always cutting my finger cooking or burning myself on the iron.' Which of the following responses by the nurse would be most appropriate?
The charge nurse on a hematology/oncology unit is reviewing the policy for using abbreviations with the staff. The charge nurse should emphasize which of the following about why dangerous abbreviations need to be eliminated? Select all that apply.
A client had a colectomy 8½ hours ago. She has received 1,500 mL of dextrose 5% in water with normal saline solution. The client has just used a patient-controlled analgesia pump to administer morphine for pain, has been repositioned for comfort, and has stable pulse rate, respirations, and blood pressure. What should the nurse do next?
A 60-year-old male client comes into the emergency department with a complaint of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Immediate admission orders include oxygen by nasal cannula at 4 L/minute, blood work, a chest radiograph, a 12-lead electrocardiogram (ECG), and 2 mg of morphine sulfate given I.V. The nurse should first:

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days