NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new colostomy about dietary modifications. Which of the following foods should the client avoid to prevent excessive gas?
Correct Answer: A
Rationale: Broccoli, a cruciferous vegetable, can cause excessive gas in clients with a colostomy, which may lead to pouch ballooning. Chicken, rice, and yogurt are less likely to produce significant gas. CN: Physiological adaptation; CL: Synthesize
Question 2 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 3 of 5
The nurse has been assigned to provide care for four clients at the beginning of the day shift. In what order should the nurse assess these clients?
Correct Answer: C
Rationale: The client with sudden onset of acute stomach pain (
C) should be assessed first, as this could indicate a serious complication like ulcer perforation. The other clients' conditions are less urgent: the hiatal hernia client is stable, the NPO client is awaiting tests, and the jaw surgery client's pain is expected postoperatively.
Question 4 of 5
A client on peritoneal dialysis reports cloudy effluent. The nurse should:
Correct Answer: B
Rationale: Cloudy effluent suggests peritonitis, requiring immediate medical attention.
Question 5 of 5
A nurse is to administer 10 mg of morphine sulfate to a client with three fractured ribs. The available concentration for this drug is 15 mg/mL. How many milliliters should the nurse administer? Round to one decimal point.
Correct Answer: 0.7 mL
Rationale:
To calculate: 10 mg ÷ 15 mg/mL = 0.666€¦ mL, rounded to 0.7 mL.