NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The nurse is preparing to teach a client with microcytic hypochromic anemia about the diet to follow after discharge. Which of the following foods should be included in the diet?
Correct Answer: A
Rationale: Microcytic hypochromic anemia is often caused by iron deficiency. Eggs are a good source of dietary iron, particularly heme iron, which is well-absorbed by the body. Lettuce and citrus fruits do not provide significant iron, though citrus fruits can enhance iron absorption when consumed with iron-rich foods. Cheese is not a significant source of iron.
Therefore, eggs should be included in the diet.
Question 2 of 5
A priority in the first 24 hours after a bilateral adrenalectomy is:
Correct Answer: C
Rationale: Preventing adrenal crisis is critical post-adrenalectomy due to sudden loss of adrenal hormone production, requiring steroid replacement.
Question 3 of 5
Which symptom suggests bladder cancer recurrence?
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.
Question 4 of 5
Which of the following findings would suggest pneumothorax in a trauma victim?
Correct Answer: D
Rationale: Absent breath sounds on the affected side suggest pneumothorax due to air in the pleural space. Crackles, wheezing, and dullness are more indicative of other conditions.
Question 5 of 5
Which statement by a client with a new ileal conduit indicates a need for further teaching?
Correct Answer: D
Rationale: Tight clothing can irritate the stoma and impair appliance function, indicating a misunderstanding of proper care.