NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
The nurse should assess the client with bladder cancer for which of the following?
Correct Answer: C
Rationale: Painless hematuria is a hallmark symptom of bladder cancer, often presenting as the initial sign due to tumor growth causing bleeding without associated pain.
Question 2 of 5
When receiving a client from the postanesthesia care unit after a splenectomy, which should the nurse assess after obtaining vital signs?
Correct Answer: C
Rationale: After a splenectomy, the nurse should assess the dressing for signs of bleeding, as the spleen is highly vascular, and postoperative hemorrhage is a risk. Nasogastric drainage, urinary output, and pain are assessed later, but the dressing is the priority to detect complications.
Question 3 of 5
The client asks the nurse what his activity limitations are while he is in Buck's traction. The nurse should tell the client:
Correct Answer: B
Rationale: Buck's traction requires lying flat to maintain traction alignment, limiting movement.
Question 4 of 5
A client with cirrhosis begins to develop ascites. Spironolactone (Aldactone) is prescribed to treat the ascites. The nurse should monitor the client closely for which of the following drug-related adverse effects?
Correct Answer: B
Rationale: Spironolactone is a potassium-sparing diuretic, so hyperkalemia (
B) is a key adverse effect. Constipation (
A), irregular pulse (
C), and dysuria (
D) are not typical.
Question 5 of 5
A client is scheduled to have an arteriogram. During the arteriogram, the client reports having nausea, tingling, and dyspnea. The nurse's immediate action should be:
Correct Answer: B
Rationale: Nausea, tingling, and dyspnea during an arteriogram suggest a possible allergic reaction to the contrast dye or other complications (e.g., vasovagal response). The nurse should immediately inform the physician to evaluate and manage the situation. Administering epinephrine or oxygen requires a physician's order, and reassuring the client is inappropriate until the issue is addressed.