Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions Medical Surgical Nursing Questions

Extract:


Question 1 of 5

The nurse should assess clients with chronic open-angle glaucoma (COAG) for:

Correct Answer: D

Rationale: Chronic open-angle glaucoma typically presents with a gradual loss of peripheral vision due to optic nerve damage from increased intraocular pressure.

Question 2 of 5

Which lab result indicates worsening acute renal failure?

Correct Answer: A

Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.

Question 3 of 5

Which of the following groups would benefit most from education regarding potential risk factors for melanoma?

Correct Answer: B

Rationale: Senior citizens with repeated exposure to UV rays are at the highest risk for melanoma due to cumulative skin damage. Education on risk factors like UV exposure is most beneficial for this group.

Question 4 of 5

A client is having a blood transfusion reaction. The nurse must do the following in what order of priority from first to last?

Order the Items

Source Container

Notify the attending physician and blood bank.
Complete the appropriate Transfusion Reaction Form(s).
Stop the transfusion.
Keep the I.V. open with normal saline infusion.

Correct Answer: C,D,A,B

Rationale: In a transfusion reaction, the nurse must first stop the transfusion to prevent further infusion of the offending blood. Next, keep the IV line open with normal saline to maintain access and support circulation.
Then, notify the physician and blood bank for further evaluation and management. Finally, complete the transfusion reaction forms to document the incident.

Question 5 of 5

The nurse identifies deficient knowledge when the client undergoing induction therapy for leukemia makes which of the following statements?

Correct Answer: B

Rationale: During leukemia induction therapy, the client is at high risk for infection due to neutropenia. Pets like cats can carry pathogens (e.g.,
Toxoplasma), and the statement about returning to a cat indicates a knowledge deficit about infection risks. The other statements reflect appropriate self-care measures.

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