NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The nurse is checking the laboratory results of a 52-year-old client with colon cancer admitted for further chemotherapy. The client has lost 30 lb (13.6 kg) since initiation of the treatment. Which laboratory result should be reported to the health care provider?
Correct Answer: D
Rationale: A low albumin level (2.8 g/dL) indicates malnutrition, which is concerning given the client's significant weight loss and needs to be reported for nutritional intervention.
Question 2 of 5
The nurse is assessing an older Caucasian male who has a history of peripheral vascular disease. The nurse observes that the man's left great toe is black. The discoloration is probably a result of:
Correct Answer: C
Rationale: A black great toe in a client with PVD likely indicates gangrene, resulting from tissue necrosis due to severe ischemia from arterial occlusion. Atrophy causes muscle wasting, contraction is not a relevant term, and rubor refers to reddish discoloration, not black.
Question 3 of 5
Following a total hip replacement, the nurse should position the client in which of the following ways?
Correct Answer: D
Rationale: Slight abduction prevents dislocation by maintaining proper hip alignment.
Question 4 of 5
Which of the following foods should the nurse teach a client with heart failure to limit when following a 2-g sodium diet?
Correct Answer: B
Rationale:
Tomato juice is high in sodium, which should be limited on a 2-g sodium diet to prevent fluid retention in heart failure.
Question 5 of 5
Which of the following individuals should the nurse consider to have the highest priority for receiving seasonal influenza vaccination?
Correct Answer: C
Rationale: The 50-year-old caring for an immunocompromised spouse is the highest priority for influenza vaccination to prevent transmission. Others have lower risk profiles.