Questions 108

NCLEX-RN

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NCLEX RN Medical Surgical Questions Questions

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Question 1 of 5

The nurse is observing a student nurse administer eyedrops, as shown in the fi gure. What should the nurse instruct the student to do?

Correct Answer: C

Rationale: The student has positioned the dropper and the client correctly to prevent injury to the client’s eye. The student should administer the drops in the center of the lower lid. Following administration of the eyedrops, the client should blink her eyes to distribute the medication; squeezing or rubbing her eyes might cause the medication to drip out of the eye.

Question 2 of 5

A client with a suspected small bowel obstruction reports severe pain and vomiting. Which diagnostic test should the nurse prepare the client for first?

Correct Answer: A

Rationale: An abdominal X-ray is typically the first diagnostic test for a suspected small bowel obstruction to identify air-fluid levels or free air. Barium enema and colonoscopy are contraindicated in acute obstruction, and a CT scan may follow for detailed imaging. CN: Reduction of risk potential; CL: Synthesize

Question 3 of 5

A client with an ileal conduit has a rash around the stoma. The nurse should:

Correct Answer: B

Rationale: Cleaning with soap and water removes irritants, promoting rash healing.

Question 4 of 5

When assessing the lower extremities of a client with peripheral vascular disease (PVD), the nurse notes bilateral ankle edema. The edema is related to:

Correct Answer: C

Rationale: Bilateral ankle edema in PVD is often due to increased venous pressure from venous insufficiency or right-sided heart failure, which impairs venous return and causes fluid to pool in the lower extremities. Decreased blood volume or increased muscular activity does not cause edema, and arterial pressure is not directly related.

Question 5 of 5

A client with an ileal conduit reports skin irritation around the stoma. What should the nurse recommend?

Correct Answer: A

Rationale: A skin barrier cream protects the peristomal skin from urine irritation, promoting healing and preventing further breakdown.

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The nurse is assessing a client who had a left hip replacement 36 hours ago. Which of the following indicates the prosthesis is dislocated? Select all that apply.

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