NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The nurse is preparing a preoperative teaching plan for a client who is undergoing a bilateral breast reduction. Which aspect of the plan is the priority?
Correct Answer: C
Rationale: Psychosocial integrity is the priority for breast reduction surgery, as it addresses body image, self-esteem, and emotional adjustment, which are significant concerns for clients undergoing this procedure.
Question 2 of 5
When the nurse is conducting a preoperative interview with a client who is having a vaginal hysterectomy, the client states that she forgot to tell her doctor that she had a total hip replacement 3 years ago. The nurse communicates this information to the perioperative nurse because:
Correct Answer: A
Rationale: A hip prosthesis can conduct electricity from an electrosurgical unit, risking burns or complications. Communicating this ensures precautions are taken during surgery.
Question 3 of 5
The nurse in the postanesthesia care unit notes that one of the client's pupils is larger than the other. The nurse should:
Correct Answer: D
Rationale: Unequal pupils post-surgery suggest a neurological issue, such as increased intracranial pressure or stroke. Calling the surgeon ensures prompt evaluation and intervention.
Question 4 of 5
The nurse anticipates that the client who has received epidural anesthesia is at decreased risk for a spinal headache because:
Correct Answer: C
Rationale: Epidural anesthesia uses a noncutting needle, reducing dural puncture risk and thus lowering the incidence of spinal headache compared to spinal anesthesia.
Question 5 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.