NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
The nurse is developing a plan of care for a client with Crohn's disease who is receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B,C,D,E
Rationale: For a client on TPN, daily weight monitoring (
B), daily dressing changes (
C), hourly infusion rate checks (
D), and securing tubing connections (E) are critical to prevent complications like infection or fluid imbalance. Vital signs once a shift (
A) is insufficient; more frequent monitoring is needed. CN: Pharmacological and parenteral therapies; CL: Create
Question 2 of 5
The nurse should instruct the client with an ileostomy to report which of the following signs and symptoms immediately?
Correct Answer: C
Rationale: Absence of drainage from an ileostomy for 6 or more hours may indicate a blockage, requiring immediate reporting. Liquid stool and undigested food are normal, and a slightly elevated temperature is less urgent unless persistent. CN: Physiological adaptation; CL: Synthesize
Question 3 of 5
Which of the following diets would be most appropriate in the chronic obstructive pulmonary disease (COPD)?
Correct Answer: D
Rationale: A high-calorie, high-protein diet supports nutritional needs in COPD, where energy expenditure is high and appetite may be low. Other diets are less specific to COPD requirements.
Question 4 of 5
A nurse is caring for a client with an ileal conduit. When assessing the stoma, which of the following outcomes are undesirable? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Dermatitis, bleeding, fungal infections, adhesive solvent flow, and partial obstruction are all undesirable as they indicate complications such as skin irritation, trauma, infection, or improper appliance application that can impair stoma function or client health.
Question 5 of 5
Which medication is prescribed to prevent uric acid stones?
Correct Answer: B
Rationale: Allopurinol reduces uric acid levels, preventing stone formation.