NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse is removing the client's staples from an abdominal incision when the client sneezes and the incision splits open, exposing the intestines. Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Covering exposed intestines with sterile, moist dressings prevents infection and drying of tissues, stabilizing the situation until surgical intervention. This is the immediate priority.
Question 2 of 5
A nurse is assessing a female who is receiving the second administration of chemotherapy for breast cancer. When obtaining this client's health history, what is the most important information the nurse should obtain?
Correct Answer: B
Rationale: Nausea and vomiting are critical to assess during chemotherapy, as they can lead to dehydration, malnutrition, and treatment delays if not managed promptly.
Question 3 of 5
A client is admitted to the emergency department with a full thickness burn to his right arm. Upon assessment, the arm is edema, the agent is mottled, and radial pulse is now absent. The client states that the pain is 8 on a scale of 1 to 10 . The nurse should:
Correct Answer: B
Rationale: The absence of the radial pulse indicates potential compartment syndrome or vascular compromise, which is a medical emergency requiring immediate physician notification to prevent tissue necrosis.
Question 4 of 5
The nurse is assessing a client with chronic myeloid leukemia (CML). The nurse should assess the client for:
Correct Answer: D
Rationale: CML causes an overproduction of white blood cells, leading to symptoms like fatigue, splen enlarge, and shortness of breath due to anemia or hyperviscosity. Shortness of breath is a common finding to assess. Lymphadenopathy, gum hyperplasia, and marrow expansion are less typical.
Question 5 of 5
An older, sedentary adult may not respond to emotional or physical stress as well as a younger individual because of:
Correct Answer: A
Rationale: Aging leads to left ventricular atrophy, reducing cardiac reserve and impairing the heart's ability to respond to stress, unlike irregular heartbeats or pacemakers.