NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse should be especially alert for signs and symptoms of digoxin toxicity if serum levels indicate that the client has a:
Correct Answer: D
Rationale: Low potassium (hypokalemia) increases the risk of digoxin toxicity by enhancing digoxin's binding to cardiac cells, leading to arrhythmias.
Question 2 of 5
The client with glaucoma is scheduled for a hip replacement. Which of the following orders would require clarification before the nurse carries it out?
Correct Answer: B
Rationale: Atropine sulfate can increase intraocular pressure, which is contraindicated in glaucoma. The nurse should clarify this order to ensure it is safe for the client.
Question 3 of 5
Which of the following explains the influence of aging on the development of peripheral vascular disease?
Correct Answer: B
Rationale: Aging increases vascular resistance due to arterial stiffening and reduced elasticity from collagen buildup and atherosclerosis. This elevates blood pressure and impairs peripheral blood flow, contributing to PVD. Resistance does not decrease, and viscosity changes are less significant in aging-related PVD.
Question 4 of 5
The nurse teaches a client with chronic obstructive pulmonary disease for signs and symptoms of right-sided heart failure. Which of the following signs and symptoms should be included in the teaching plan?
Correct Answer: C
Rationale: Right-sided heart failure (cor pulmonale) in COPD causes peripheral edema due to increased venous pressure. Clubbing reflects chronic hypoxia, not heart failure. Hypertension and increased appetite are unrelated.
Question 5 of 5
A client had a repair of a thoracoabdominal aneurysm 2 days ago. Which of the following findings should the nurse consider unexpected and report to the physician immediately? The client has:
Correct Answer: D
Rationale: Weakness and numbness in the lower extremities post-thoracoabdominal aneurysm repair suggest spinal cord ischemia or graft-related complications, requiring immediate reporting. Persistent pain, elevated heart rate post-ambulation, and normal urine output are expected or less urgent.