NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client in skeletal traction for a femoral fracture. Which assessment should be prioritized?
Correct Answer: A
Rationale: Pin site infections are a common complication in skeletal traction, requiring prioritized assessment.
Question 2 of 5
What diet should be implemented for a client who is in the early stages of cirrhosis?
Correct Answer: A
Rationale: A high-calorie, high-carbohydrate diet (
A) supports energy needs in early cirrhosis. High-protein (
B) may worsen encephalopathy. Low-fat, low-protein (
C) is too restrictive. Low-sodium (
D) is relevant for ascites, not early cirrhosis.
Question 3 of 5
A client with a new ileostomy is concerned about returning to work. Which advice should the nurse provide to support the client's transition?
Correct Answer: A
Rationale: Wearing loose clothing helps conceal the ileostomy pouch, boosting the client's confidence at work. Avoiding activity is unnecessary, daily pouch changes are not required unless needed, and limiting fluids risks dehydration. CN: Psychosocial adaptation; CL: Synthesize
Question 4 of 5
The nurse develops a plan of care for a client in the initial postoperative period following a lumbar laminectomy. Which of the following activities is contraindicated?
Correct Answer: D
Rationale: Prolonged sitting stresses the surgical site and is contraindicated post-laminectomy.
Question 5 of 5
The client is to take nothing by mouth after 4 a.m. The nurse recognizes that the client has deficient knowledge when he states that he:
Correct Answer: D
Rationale: Smoking after 4 a.m. violates the nothing-by-mouth (NPO) order, as it introduces substances into the body and can affect anesthesia safety. The other actions either comply with NPO (brushing teeth without swallowing, holding a washcloth) or occurred before the cutoff (gelatin at 3:30 a.m.).