NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Vasopressin (Pitressin) is administered to the client with diabetes insipidus because it:
Correct Answer: B
Rationale: Vasopressin increases water reabsorption in the kidneys, reducing urine output in diabetes insipidus.
Question 2 of 5
A client had a colectomy 8½ hours ago. She has received 1,500 mL of dextrose 5% in water with normal saline solution. The client has just used a patient-controlled analgesia pump to administer morphine for pain, has been repositioned for comfort, and has stable pulse rate, respirations, and blood pressure. What should the nurse do next?
Correct Answer: B
Rationale: Morphine can cause respiratory depression or hypotension. Assessing vital signs after PCA use ensures the client's safety and detects adverse effects promptly.
Question 3 of 5
Which of the following interventions should the nurse include in the client's plan of care to prevent complications associated with TPN administered through a central line?
Correct Answer: B,D
Rationale:
To prevent complications with TPN via a central line, taping all connections (
B) prevents dislodgement, and a moisture-proof dressing (
D) reduces infection risk. Clean technique (
A) is insufficient; sterile technique is required. Bed rest (
C) is not necessary and may increase complications like thrombosis. CN: Pharmacological and parenteral therapies; CL: Create
Question 4 of 5
Which of the following is not a risk factor for the development of atherosclerosis?
Correct Answer: B
Rationale: Late onset of puberty is not a risk factor for atherosclerosis. Family history, high cholesterol, and elevated glucose are established risk factors.
Question 5 of 5
What is the purpose of straining urine in a client with renal calculi?
Correct Answer: B
Rationale: Straining urine captures stones for analysis to determine composition.