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NCLEX RN Questions Medical Surgical Nursing Questions

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Question 1 of 5

The nurse should teach the client with an ileal conduit to prevent urine leakage when changing the appliance by using which of the following procedures?

Correct Answer: A

Rationale: Inserting a gauze wick into the stoma temporarily absorbs urine, preventing leakage during appliance changes, ensuring a dry field for secure adhesion.

Question 2 of 5

A client reports that she has gained weight and that her face and body are 'rounder,' while her legs and arms have become thinner. A tentative diagnosis of Cushing's disease is made. When examining this client, the nurse would expect to find:

Correct Answer: C

Rationale: Cushing's disease causes thin, fragile skin due to excess cortisol, leading to easy bruising.

Question 3 of 5

A client has an emergency embolectomy for an embolus in the femoral artery. After the client returns from the recovery room, in what order, from first to last, should the nurse provide care?

Order the Items

Source Container

Administer pain medication
Draw blood for laboratory studies
Regulate the I.V. infusion
Monitor the pulses
Inspect the dressing

Correct Answer: D,C,A,B,E

Rationale: Order: 1) Monitor pulses (ensure arterial patency post-embolectomy); 2) Regulate I.V. infusion (maintain hydration/perfusion); 3) Administer pain medication (manage comfort); 4) Draw blood for labs (monitor coagulation); 5) Inspect dressing (check for bleeding/infection).

Question 4 of 5

A client has been admitted with draining foot lesions. The nurse should do which of the following? Select all that apply.

Correct Answer: C,D,E,F

Rationale: Draining lesions require contact precautions, including a private room, isolation signage, gowns, and gloves (latex-free to avoid allergies). Negative pressure is for airborne pathogens.

Question 5 of 5

When instructing a client who has been newly diagnosed with vasospastic disorder (Raynaud's phenomenon) about management of care, the nurse should discuss which of the following topics?

Correct Answer: C

Rationale: Raynaud's phenomenon is often associated with connective tissue diseases (e.g., scleroderma, lupus), especially secondary Raynaud's. Discussing follow-up monitoring for these conditions is essential for early detection and management. Sympathectomy, beta blockers, and angioplasty are not first-line or relevant interventions.

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