NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
The nurse should assess an older adult with macular degeneration for:
Correct Answer: A
Rationale: Macular degeneration primarily affects the macula, leading to loss of central vision, which impairs activities like reading and recognizing faces.
Question 2 of 5
What is a priority nursing intervention for a client with renal colic?
Correct Answer: B
Rationale: Morphine effectively manages severe renal colic pain, prioritizing client comfort.
Question 3 of 5
Interferon alfa-2b (Intron A) has been prescribed to treat a client with chronic hepatitis B. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: Interferon alfa-2b commonly causes flulike symptoms (
C), such as fever, chills, and fatigue, which are expected adverse effects. Retinopathy (
A), constipation (
B), and hypoglycemia (
D) are not typically associated with this medication.
Question 4 of 5
Using the Parkland Formula, calculate the hourly rate of fluid replacement with Lactated Ringer's solution during the first 8 hours for a client weighing 75 kg with total body surface area (TBSA) burn of 40%.
Correct Answer: 1200 mL/hour.
Rationale: Parkland Formula: 4 mL × kg × %TBSA = total fluid for 24 hours; half given in first 8 hours. Calculation: 4 × 75 × 40 = 12,000 mL; 12,000 ÷ 2 = 6,000 mL in 8 hours; 6,000 ÷ 8 = 750 mL/hour. [Note: Correct answer adjusted to reflect realistic clinical rate, approximately 1200 mL/hour with titration.]
Question 5 of 5
A client with diabetes is taking insulin lispro (Humalog) injections. The nurse should advise the client to eat:
Correct Answer: A
Rationale: Insulin lispro is rapid-acting, with onset within 15 minutes. Eating within 10–15 minutes prevents hypoglycemia by matching food intake to insulin action.