NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
Thirty-two children are brought to the emergency department after a school bus accident. Two children were killed along with the three people in the car that caused the crash. Before the victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency, which step should the nurse anticipate carrying out?
Correct Answer: A
Rationale: A crisis response team is essential to provide psychological support to victims, families, and staff following a traumatic event like a school bus accident with fatalities.
Question 2 of 5
The client has just had a total knee replacement for severe osteoarthritis. Which of the following assessment findings should lead the nurse to suspect possible nerve damage?
Correct Answer: A
Rationale: Numbness indicates potential nerve damage, requiring urgent evaluation.
Question 3 of 5
Which of the following signs and symptoms are common in male clients with prolactin-secreting tumors?
Correct Answer: B
Rationale: Prolactin-secreting tumors in males often cause erectile dysfunction and decreased libido due to suppression of testosterone.
Question 4 of 5
Interferon alfa-2b (Intron A) has been prescribed to treat a client with chronic hepatitis B. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: Interferon alfa-2b commonly causes flulike symptoms (
C), such summer fever, chills, and fatigue. Retinopathy (
A), constipation (
B), and hypoglycemia (
D) are not typical adverse effects.
Question 5 of 5
The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the nurse to discontinue prone positioning and return the client to the supine position? Select all that apply.
Correct Answer: C,D,E
Rationale: Decreased SpO2/PO2 (
C), tachycardia with hypotension (
D), and facial skin breakdown/edema (E) indicate complications requiring a return to supine position. Family visits and suctioning needs are manageable in prone position.