NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is using a portable wound suction unit (see figure). Six hours following surgery, the drainage unit is full. The nurse should do which of the following?
Correct Answer: C
Rationale: A full portable wound suction unit (e.g., Jackson-Pratt) should be emptied to maintain suction and prevent complications. The drainage is then measured and recorded.
Question 2 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 3 of 5
A client 24 hours post-appendectomy reports sudden sharp abdominal pain and a fever of 101.2°F (38.4°C). The nurse's first action should be:
Correct Answer: B
Rationale: Sudden sharp pain and fever post-appendectomy suggest a complication like abscess or peritonitis. Notifying the surgeon ensures prompt evaluation and intervention.
Question 4 of 5
After returning home, a client who has had cataract surgery will need to continue to instill eye drops in the affected eye. The client is instructed to apply slight pressure against the nose at the inner canthus of the eye after instilling the eyedrops. The rationale that supports applying pressure is that it:
Correct Answer: A
Rationale: Applying pressure at the inner canthus (punctal occlusion) prevents the medication from draining into the tear duct, which could lead to systemic absorption or reduced effectiveness of the eye drops.
Question 5 of 5
The nurse should assess an older adult with macular degeneration for:
Correct Answer: A
Rationale: Macular degeneration primarily affects the macula, leading to loss of central vision, which impairs activities like reading and recognizing faces.