NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse monitors the client with pancreatitis for early signs of shock. Which of the following conditions is primarily responsible for making it difficult to manage shock in pancreatitis?
Correct Answer: B
Rationale: In pancreatitis, fluid sequestration into the retroperitoneal space (
B) causes hypovolemia, complicating shock management. Intestinal hemorrhage (
A), infection (
C), and decreased cardiac output (
D) are less primary contributors.
Question 2 of 5
The nurse observes the client instill eyedrops. The client says, 'I just try to hit the middle of my eyeball so the drops don't run out of my eye.' The nurse explains to the client that this method may cause:
Correct Answer: A
Rationale: Instilling eyedrops directly onto the cornea (middle of the eyeball) can cause corneal abrasion due to the dropper tip or improper technique. Drops should be placed in the lower conjunctival sac.
Question 3 of 5
The client has a latex allergy. What should the nurse teach the client to do before having surgery at a free-standing surgery center? Select all that apply.
Correct Answer: A,B,C
Rationale: Treatment and diagnostic evaluation must be done in a latex-safe environment. Signs/symptoms may be mild to anaphylaxis. Clients with latex allergy are advised to notify their health care providers and to wear a medical ID; however, all metal and jewelry must be removed prior to surgery as they could conduct an electrical current.
Question 4 of 5
In which areas of the United States is the incidence of tuberculosis highest?
Correct Answer: B
Rationale: Inner-city areas have higher tuberculosis incidence due to crowding, poverty, and limited healthcare access. Rural, low-water-standard, and suburban areas have lower rates.
Question 5 of 5
A client with a recent total knee replacement reports swelling in the operative leg. Which nursing action is most appropriate?
Correct Answer: A
Rationale: Elevating the leg reduces swelling by promoting venous return, a standard post-surgical intervention.