NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
The nurse receives the preoperative blood work report for a client who is scheduled to undergo surgery. Which of the following laboratory findings should be reported to the surgeon?
Correct Answer: B
Rationale: A creatinine level of 2.6 mg/dL indicates renal impairment, which can affect anesthesia and surgical outcomes. This must be reported to the surgeon. The other values are within normal ranges.
Question 2 of 5
The nurse is instructing the client on insulin administration. The client is performing a return demonstration for preparing the insulin. The client's morning dose of insulin is 10 units of regular and 22 units of NPH. The nurse checks the dose accuracy with the client. The nurse determines that the client has measured the correct dose when the syringe reads how many units?
Correct Answer: 32 units.
Rationale: The total dose is 10 units regular + 22 units NPH = 32 units, which should be drawn into one syringe for administration.
Question 3 of 5
The nurse should teach the neutropenic client and the family to avoid which of the following?
Correct Answer: A
Rationale: Neutropenic clients should avoid suppositories or enemas, as they can cause rectal trauma and introduce infections. HEPA masks, perianal care, and oral care are recommended to reduce infection risk.
Question 4 of 5
The nurse is planning care for a client being admitted with bleeding esophageal varices. Vital signs are: Pulse 100; respiratory rate 22; and blood pressure 100/58. The nurse should prepare the client for which of the following? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Octreotide (
A) reduces portal pressure, endoscopy (
B) diagnoses/treats bleeding, blood products (
C) address hypovolemia, and Minnesota tube (
D) controls bleeding. TIPS (E) is a later intervention, not immediate.
Question 5 of 5
The nurse is reviewing a client's chart and notes a discrepancy in the TPN order. Which action should the nurse take first?
Correct Answer: B
Rationale: Contacting the prescribing physician for clarification is the first action to resolve a discrepancy in a TPN order, ensuring safety and accuracy. Adjusting the rate, continuing the current rate, or documenting without clarification risks errors. CN: Safety and infection control; CL: Synthesize