NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is reviewing the care plan of a client with Multiple Sclerosis. Which of the following nursing diagnoses should receive further validation?
Correct Answer: C
Rationale: Seizures are not a common manifestation of MS, as tremors and myelin loss do not directly cause seizures. The other diagnoses are valid, as MS commonly causes mobility issues, fall risks, and skin integrity concerns.
Question 2 of 5
Which of the following is an expected outcome when a client is receiving an I.V. administration of furosemide?
Correct Answer: B
Rationale: Furosemide, a loop diuretic, promotes diuresis, increasing urine output to reduce fluid overload in conditions like heart failure or post-MI.
Question 3 of 5
The nurse is obtaining a health history from a client who has a sliding hiatal hernia associated with reflux. The nurse should ask the client about the presence of which of the following symptoms?
Correct Answer: A
Rationale: Heartburn is a hallmark symptom of a sliding hiatal hernia with reflux, caused by stomach acid refluxing into the esophagus.
Question 4 of 5
A client with acute renal failure reports shortness of breath. The nurse should:
Correct Answer: C
Rationale: Shortness of breath may indicate fluid overload; lung sounds assess for pulmonary edema.
Question 5 of 5
A nurse is caring for a client 24 hours after he has undergone an abdominal-perineal resection for a bowel tumor. The client's wife asks if she can bring him some of his favorite home-cooked Italian minestrone soup. What would be an appropriate action by the nurse?
Correct Answer: A
Rationale: Auscultating for bowel sounds assesses whether the client's bowel function has returned post-surgery, which determines if oral intake like soup is safe.