NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
The nurse will anticipate which of the following problems that can result for the older adult undergoing abdominal surgery?
Correct Answer: C
Rationale: Older adults have slower wound healing due to reduced collagen synthesis and cellular turnover, increasing the risk of delayed recovery post-surgery.
Question 2 of 5
What is the rationale that supports multidrug treatment for clients with tuberculosis?
Correct Answer: D
Rationale: Multidrug therapy for tuberculosis prevents the development of resistant bacterial strains by targeting different aspects of bacterial growth. Potentiation, reduced adverse effects, or lower dosages are not the primary rationale.
Question 3 of 5
The nurse should teach the diabetic client that which of the following is the most common symptom of hypoglycemia?
Correct Answer: A
Rationale: Nervousness is a common symptom of hypoglycemia due to the body's stress response to low blood glucose levels.
Question 4 of 5
A 60-year-old male client comes into the emergency department with a complaint of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Immediate admission orders include oxygen by nasal cannula at 4 L/minute, blood work, a chest radiograph, a 12-lead electrocardiogram (ECG), and 2 mg of morphine sulfate given I.V. The nurse should first:
Correct Answer: A
Rationale: Administering morphine first relieves pain, reducing myocardial oxygen demand and stabilizing the client. ECG and blood work follow to confirm diagnosis, but pain management is the priority.
Question 5 of 5
The nurse is assessing a 60-year-old male who has hoarseness. The nurse should conduct a focused assessment to determine:
Correct Answer: D
Rationale: Hoarseness in a 60-year-old male is concerning for head and neck cancers, particularly laryngeal cancer. A focused assessment should prioritize tobacco and alcohol use, as these are major risk factors.