NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
The nurse is checking the laboratory results on a 52-year-old client with type 1 diabetes (see chart). What laboratory result indicates a problem that should be managed?
Correct Answer: A
Rationale: Elevated blood glucose in type 1 diabetes indicates poor glycemic control, requiring immediate management to prevent complications like ketoacidosis.
Question 2 of 5
The nurse evaluates that the client correctly understands how to report signs and symptoms of bleeding when the client makes which of the following statements?
Correct Answer: B
Rationale: Ecchymoses are large, purple bruises caused by bleeding under the skin, a common sign of thrombocytopenia. This statement shows correct understanding. Petechiae are small, pinpoint red dots, not large bruises; 'emmum' is not a medical term; and abrasions are superficial skin injuries, not bleeding signs.
Question 3 of 5
A client undergoing a mastectomy asks why she needs to sign a blood transfusion consent form. The nurse's best response is:
Correct Answer: A
Rationale: Explaining that the consent is a precaution for potential bleeding addresses the client's question accurately and promotes informed consent.
Question 4 of 5
A client with an ileal conduit should report:
Correct Answer: B
Rationale: Stoma bleeding is abnormal and may indicate trauma or infection.
Question 5 of 5
The nurse is assessing a client who has had a myocardial infarction. The nurse notes the cardiac rhythm shown on the electrocardiogram strip below. The nurse identifies this rhythm as which of the following?
Correct Answer: D
Rationale: Sinus tachycardia is a fast but regular rhythm originating from the sinoatrial node, typically occurring in response to factors like pain, fever, anxiety, or myocardial infarction.