NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The nurse should monitor the client with Cushing's disease for which of the following?
Correct Answer: B
Rationale: Hypokalemia is common in Cushing's disease due to aldosterone excess, causing potassium loss.
Question 2 of 5
A client has malignant pleural effusions. The nurse should conduct a focused assessment to determine if the client has which of the following? Select all that apply.
Correct Answer: D,E,F
Rationale: Chest pain (
D), dyspnea (E), and cough (F) are common symptoms of malignant pleural effusions due to fluid accumulation and lung compression.
Question 3 of 5
The client who has been hospitalized with pancreatitis does not drink alcohol because of her religious convictions. She becomes upset when the physician persists in asking her about alcohol intake. The nurse should explain that the reason for these questions is that:
Correct Answer: A
Rationale: Alcohol is a leading cause of acute pancreatitis, so the physician's questions are relevant to determine etiology (
A). Options B, C, and D are inaccurate or dismissive of the client's concerns.
Question 4 of 5
A client is to receive epoetin (Epogen) injections. What laboratory value should the nurse assess before giving the injection?
Correct Answer: A
Rationale: Epoetin (Epogen) stimulates red blood cell production and is used to treat anemia. The nurse should assess hematocrit before administration to evaluate the client's response to therapy and ensure levels do not rise excessively, which can increase the risk of hypertension or thrombosis. Hemoglobin is also relevant but hematocrit is more commonly monitored. Coagulation times are not directly affected by epoetin.
Question 5 of 5
An alert and oriented elderly client is admitted to the hospital for treatment of cellulitis of the left shoulder after an arthroscopy. Which fall prevention strategy is most appropriate for this client?
Correct Answer: A
Rationale: A nightlight reduces fall risk by improving visibility during nighttime bathroom trips, suitable for an alert client. Four side rails are a restraint and unsafe.