NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
The nurse is preparing a client for a total hip replacement. Which preoperative teaching should be included to prevent postoperative complications?
Correct Answer: A
Rationale: Avoiding leg crossing prevents hip dislocation, a common complication after total hip replacement. This teaching is critical for postoperative safety and recovery.
Question 2 of 5
A client has an emergency embolectomy for an embolus in the femoral artery. After the client returns from the recovery room, in what order, from first to last, should the nurse provide care?
Order the Items
Source Container
Correct Answer: D,C,A,B,E
Rationale: Order: 1) Monitor pulses (ensure arterial patency post-embolectomy); 2) Regulate I.V. infusion (maintain hydration/perfusion); 3) Administer pain medication (manage comfort); 4) Draw blood for labs (monitor coagulation); 5) Inspect dressing (check for bleeding/infection).
Question 3 of 5
Which position is best for a client with a hemorrhagic stroke?
Correct Answer: B
Rationale: Head elevation at 30 degrees reduces intracranial pressure while maintaining cerebral perfusion in hemorrhagic stroke.
Question 4 of 5
Peripheral blood flow is dependent on which of the following variables?
Correct Answer: D
Rationale: Peripheral blood flow depends on pressure differences between the arterial and venous systems (driving force) and vascular resistance (opposing force). This relationship is governed by Poiseuille's law and Ohm's law for fluid flow, where flow is proportional to the pressure gradient and inversely proportional to resistance. The other options are incomplete or incorrect combinations of factors.
Question 5 of 5
Which stone type is associated with acidic urine?
Correct Answer: B
Rationale: Uric acid stones form in acidic urine, requiring alkalinization.