NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The nurse is planning to teach incisional care to a client before discharge. Which of the following instructions should be included?
Correct Answer: C
Rationale: Uneven lumps under suture lines are normal due to tissue healing and swelling. This reassurance prevents unnecessary worry. Hydrogen peroxide is not routinely recommended, and staples are typically removed by the surgeon.
Question 2 of 5
A client's serum ammonia level is elevated, and the physician orders 30 mL of lactulose (Cephulac). Which of the following is an adverse effect of this drug?
Correct Answer: C
Rationale: Lactulose promotes bowel movements (
C) to excrete ammonia, a common adverse effect. Urine output (
A) and consciousness (
B) are not adverse effects. Nausea (
D) is less common.
Question 3 of 5
The nurse should teach the client with diverticulitis to integrate which of the following into a daily routine at home?
Correct Answer: D
Rationale: Refraining from straining and lifting activities prevents increased intra-abdominal pressure, reducing the risk of diverticulitis complications. Enemas, decreased fluid, or high-fiber diets during acute symptoms can worsen the condition. CN: Physiological adaptation; CL: Synthesize
Question 4 of 5
A client post-inguinal herniorrhaphy reports scrotal swelling 24 hours after surgery. Which action should the nurse take first?
Correct Answer: C
Rationale: Elevating the scrotum and applying ice is the first action to reduce scrotal swelling post-inguinal herniorrhaphy, a common postoperative finding. Warm compresses may worsen swelling, notification is needed if swelling persists, and diuretics are not indicated. CN: Physiological adaptation; CL: Synthesize
Question 5 of 5
Which of the following should the nurse provide as part of the information to prepare the client for tonometry?
Correct Answer: B
Rationale:
Tonometry measures intraocular pressure and is typically painless with no adverse effects, requiring no pupil dilation or pain medication.