NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
The nurse monitors a client with cirrhosis for the development of hepatic encephalopathy. Which of the following would be an indication that hepatic encephalopathy is developing?
Correct Answer: A
Rationale: Hepatic encephalopathy causes decreased mental status (
A) due to ammonia buildup. Elevated blood pressure (
B), decreased urine output (
C), and labored respirations (
D) are not primary indicators.
Question 2 of 5
When assessing a client who has had spinal anesthesia, which of the following would the nurse expect to find?
Correct Answer: C
Rationale: After spinal anesthesia, sensation typically returns distally (toes) first, progressing proximally (perineal area), as the anesthetic wears off in a predictable pattern.
Question 3 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 4 of 5
The nurse formulates a nursing diagnosis of Spiritual distress related to advanced cancer disease. An appropriate goal for the client would be to:
Correct Answer: D
Rationale: Participating in spiritual activities of the client's choice respects their individual beliefs and supports resolution of spiritual distress.
Question 5 of 5
The nurse is teaching a client post-appendectomy about activity restrictions. Which instruction is most appropriate?
Correct Answer: A
Rationale: Avoiding lifting more than 10 pounds for 4–6 weeks prevents strain on the surgical site post-appendectomy. Resuming full activity too soon, avoiding walking, or doing sit-ups could impair healing. CN: Physiological adaptation; CL: Synthesize