NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The nurse is instructing a client with COPD how to do pursed-lip breathing. In which order should the nurse explain the steps to the client?
Correct Answer: B,A,C,D
Rationale: The correct order for pursed-lip breathing is: relax muscles (
B), inhale through nose for 2 counts (
A), pucker lips (
C), exhale through pursed lips for 4 counts (
D). This prolongs exhalation, reducing air trapping.
Question 2 of 5
A nurse is planning care for a client who underwent a percutaneous needle biopsy of the kidney. What should the nurse plan to do immediately after the biopsy? Select all that apply.
Correct Answer: A,C,D
Rationale: Assessing the biopsy site, urine for hematuria, and placing the client prone help monitor for bleeding and promote hemostasis post-biopsy.
Question 3 of 5
The nurse is administering a medication to a client with myeloid leukemia and does not know the use, dose, or side effects. To obtain the most up-to-date information about this drug, the nurse should:
Correct Answer: C
Rationale: The hospital's drug guide on the nurse's PDA provides the most up-to-date and accessible information on medication use, dose, and side effects, tailored to hospital protocols. PDR and textbooks may be outdated, and manufacturer websites are less reliable for clinical use.
Question 4 of 5
The nurse teaches a client about heat and cold treatments to manage arthritis pain. Which of the following client statements indicates that the client still has a knowledge deficit?
Correct Answer: A
Rationale: Frequent or prolonged use of heat and cold without guidance can cause tissue damage. The other statements reflect appropriate understanding of time limits and safe use.
Question 5 of 5
A client has a Jackson-Pratt drainage tube in place the first day after surgical repair of a ruptured diverticulum. The client asks the nurse the purpose of the drain. What is the nurse's best response?
Correct Answer: A
Rationale: A Jackson-Pratt drain removes fluid and blood from the surgical site, preventing infection in the peritoneal cavity by reducing fluid accumulation post-diverticulum repair.