NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
There has been an increase in medication errors and errors in ordering laboratory studies in the emergency department. The nurse manager is conducting a staff education session on when to use "read-back" procedures. "Read-back" procedures should be performed in which of the following situations? Select all that apply.
Correct Answer: A,B,D
Rationale: Read-back procedures are required for verbal, phone, or critical result communications to ensure accuracy, especially when relayed through staff like unit secretaries.
Question 2 of 5
The nurse teaches a client about heat and cold treatments to manage arthritis pain. Which of the following client statements indicates that the client still has a knowledge deficit?
Correct Answer: A
Rationale: Frequent or prolonged use of heat and cold without guidance can cause tissue damage. The other statements reflect appropriate understanding of time limits and safe use.
Question 3 of 5
Post-cystectomy, a client asks about the purpose of the ileal conduit. The nurse explains it is to:
Correct Answer: B
Rationale: An ileal conduit diverts urine from the ureters to a stoma, collected in an external pouch.
Question 4 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 5 of 5
A client has undergone a laparoscopic cholecystectomy. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: Laparoscopic cholecystectomy does not involve a bile bag, so option A is incorrect. Patients should monitor for signs of complications, such as bile-colored drainage, which could indicate a bile leak, making option B correct. Resuming normal activities immediately (
C) is unsafe due to recovery needs, and avoiding pain medications (
D) is unnecessary as pain management is often required.