Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Medical Surgical NCLEX RN Questions

Extract:


Question 1 of 5

The nurse should teach clients that the most common route of transmitting tubercle bacilli from person to person is through contaminated:

Correct Answer: B

Rationale: Tuberculosis is primarily spread through droplet nuclei produced when an infected person coughs or sneezes. Dust, water, and utensils are not significant transmission routes.

Question 2 of 5

The incidence and risk of cancer increase when smoking is combined with:

Correct Answer: A

Rationale: Smoking combined with asbestos exposure and alcohol consumption significantly increases cancer risk, particularly for lung and head/neck cancers, due to synergistic carcinogenic effects.

Question 3 of 5

A client with ascites and peripheral edema is at risk for impaired skin integrity. To prevent skin breakdown, the nurse should:

Correct Answer: C

Rationale: An alternating air pressure mattress (
C) prevents pressure ulcers in clients with edema. ROM exercises (
A) and elevation (
D) are helpful but secondary. Abdominal massage (
B) is not indicated.

Question 4 of 5

The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see

Correct Answer: C

Rationale: In macular degeneration the center vision is blackened out and only the outer visual fields are clear.

Question 5 of 5

The nurse is planning care for an 80-year-old client with a pressure ulcer (see figure). The nurse should do which of the following? Select all that apply.

Correct Answer: C,D,E

Rationale: Protective dressings, frequent repositioning, and pressure-relieving mattresses promote healing and prevent worsening of pressure ulcers. High head elevation increases shear, and daily cultures are unnecessary unless infection is suspected.

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