NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
The nurse is to Ros instill drops of phenylephrine hydrochloride (Neo-Synephrine) into the client's eye prior to cataract surgery. Which of the following is the expected outcome?
Correct Answer: B
Rationale: Phenylephrine hydrochloride (Neo-Synephrine) is a sympathomimetic agent used to dilate the pupil (mydriasis) by stimulating the dilator muscle of the iris and to constrict blood vessels, reducing conjunctival redness and swelling before cataract surgery.
Question 2 of 5
A client with pancreatic cancer is receiving morphine via a subcutaneous pump. The client is developing drug tolerance. The nurse understands that the client is:
Correct Answer: C
Rationale: Drug tolerance means the client requires an increased dose to achieve the same pain relief, as the body has adapted to the current dose of morphine.
Question 3 of 5
The client with an above-the-knee amputation is to use crutches while his prosthesis is being adjusted. In which of the following exercises should the nurse instruct the client to best prepare him for using crutches?
Correct Answer: B
Rationale: Isometric shoulder exercises strengthen the upper body, essential for crutch walking.
Question 4 of 5
Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?
Correct Answer: C
Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.
Question 5 of 5
Which pressure point area(s) should the nurse monitor for an unconscious client positioned on the left side?
Correct Answer: B,C,D,G
Rationale: On the left side, pressure points include the ear (
B), greater trochanter (
C), heels (
D), and shoulder (G). Ankles, occiput, and sacrum are less affected in this position.