NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
The nurse is suctioning a client who had a laryngectomy. What is the maximum amount of time the nurse should suction the client?
Correct Answer: B
Rationale: Suctioning for no more than 15 seconds prevents hypoxia and trauma to the airway. Longer durations risk oxygen deprivation.
Question 2 of 5
Assessment of the diabetic client for common complications should include examination of the:
Correct Answer: D
Rationale: Diabetic retinopathy, a common complication, requires regular eye examinations to detect and prevent vision loss.
Question 3 of 5
A female client diagnosed with lung cancer is to have a left lower lobectomy. Which of the following increase the client's risk of developing postoperative pulmonary complications?
Correct Answer: A
Rationale: Low body weight (5'7€, 110 lb) indicates malnutrition, increasing the risk of postoperative pulmonary complications due to weakened respiratory muscles. Emotional suppression, good exercise tolerance, and age 58 are less directly related.
Question 4 of 5
The nurse anticipates that the client who has received epidural anesthesia is at decreased risk for a spinal headache because:
Correct Answer: C
Rationale: Epidural anesthesia uses a noncutting needle, reducing dural puncture risk and thus lowering the incidence of spinal headache compared to spinal anesthesia.
Question 5 of 5
A nurse assesses a 40-year-old female client with vasospastic disorder (Raynaud's phenomenon) involving her right hand. The nurse notes the information in the progress notes, as shown below. From these findings, the nurse should formulate which priority nursing diagnosis?
Correct Answer: C
Rationale: Ineffective tissue perfusion (peripheral) is the priority nursing diagnosis in Raynaud's phenomenon, as vasospasm reduces blood flow to the extremities, causing ischemia. This underlies symptoms like numbness or pallor. Pain, sensory changes, or skin integrity risks are secondary to perfusion deficits.