NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a medication to a client with a history of Clostridium difficile infection. Which precaution is most important?
Correct Answer: B
Rationale: Using a dedicated stethoscope for a client with C. difficile prevents cross-contamination, as the infection spreads via contact with contaminated surfaces. A face mask is unnecessary, a private room is ideal but not always required, and alcohol wipes are ineffective against C. difficile spores. CN: Safety and infection control; CL: Synthesize
Question 2 of 5
The nurse monitors the client with pancreatitis for early signs of shock. Which of the following conditions is primarily responsible for making it difficult to manage shock in pancreatitis?
Correct Answer: B
Rationale: In pancreatitis, fluid sequestration into the retroperitoneal space (
B) causes hypovolemia, complicating shock management. Intestinal hemorrhage (
A), infection (
C), and decreased cardiac output (
D) are less primary contributors.
Question 3 of 5
The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. The nurse should notify the physician of a decrease in which lab serum that is a potential precipitating factor for hepatic encephalopathy?
Correct Answer: C
Rationale: Hypokalemia (
C) can precipitate hepatic encephalopathy by increasing ammonia production. Aldosterone (
A), creatinine (
B), and protein (
D) are less directly related.
Question 4 of 5
A client is to be discharged with a prescription for lactulose (Cephulac). The nurse teaches the client and the client's spouse how to administer this medication. Which of the following statements would indicate that the client has understood the information?
Correct Answer: B
Rationale: Mixing lactulose with apple juice (
B) improves palatability. Maalox (
A) is unrelated, additional laxatives (
C) are unnecessary, and lactulose is a liquid, not a tablet (
D).
Question 5 of 5
What would be the nurse's best response to the client's expressed feelings of isolation as a result of having hepatitis?
Correct Answer: D
Rationale: Encouraging the client to express feelings (
D) fosters therapeutic communication and addresses emotional needs. Dismissing feelings (A,
C) or assuming others' fears (
B) is non-therapeutic and unhelpful.