NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The nurse is providing discharge instructions for a client with cirrhosis. Which of the following statements best indicates that the client has understood the teaching?
Correct Answer: C
Rationale: Avoiding constipation (
C) prevents ammonia buildup and bleeding risks. High-protein diets (
A) may worsen encephalopathy, acetaminophen (
B) is hepatotoxic, and cirrhosis is irreversible (
D).
Question 2 of 5
Which nursing intervention is most important in preventing septic shock?
Correct Answer: D
Rationale: Septic shock is often caused by infections from invasive devices like urinary catheters. Maintaining asepsis during catheter insertion and care is critical to prevent infection and subsequent septic shock. Fluid therapy, vital signs, and RBC monitoring are important but not primary for prevention.
Question 3 of 5
Which explanation would be most appropriate for a child when teaching him about general anesthesia induction?
Correct Answer: D
Rationale: For a child, explaining inhalation of medication via a mask is age-appropriate, as it's less frightening than mentioning injections and aligns with common pediatric anesthesia induction methods.
Question 4 of 5
Initial treatment for a cerebrospinal fluid (CSF) leak after transsphenoidal hypophysectomy would most likely involve:
Correct Answer: C
Rationale: Bed rest with head elevation reduces pressure on the surgical site, promoting healing of a CSF leak.
Question 5 of 5
A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for:
Correct Answer: C
Rationale: Crohn's disease with diarrhea can lead to hypokalemia due to potassium loss in stool. Hyperalbuminemia and hypercalcemia are not typical, and thrombocytopenia is less directly related to these symptoms. CN: Physiological adaptation; CL: Analyze