NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see
Correct Answer: C
Rationale: In macular degeneration the center vision is blackened out and only the outer visual fields are clear.
Question 2 of 5
Which activity should a client with an ileal conduit avoid?
Correct Answer: C
Rationale: Heavy lifting can strain the stoma site, increasing hernia risk.
Question 3 of 5
The client has a sustained increased intracranial pressure (ICP) of 20 mm Hg. Which client position would be most appropriate?
Correct Answer: A
Rationale: Elevating the head of the bed 30 to 45 degrees promotes venous drainage from the brain, reducing ICP. Trendelenburg's position increases ICP by impeding venous return, Sims position is unrelated to ICP management, and pillows may not ensure consistent elevation or neutral neck alignment.
Question 4 of 5
The client with Ménière'sdisease is instructed to modify his diet. The nurse should explain that the most frequently recommended diet modification for the client's disease is:
Correct Answer: A
Rationale: A low-sodium diet is recommended for Ménière'sdisease to reduce fluid retention in the inner ear, which can decrease the frequency and severity of vertigo attacks.
Question 5 of 5
A client has been prescribed allopurinol (Zyloprim) for renal calculi that are caused by high uric acid levels. Which of the following indicate the client is experiencing adverse effect(s) of this drug? Select all that apply.
Correct Answer: A,B,E
Rationale: Nausea, rash, and bone marrow depression are known adverse effects of allopurinol, indicating potential toxicity or allergic reactions.