NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
What instructions should the nurse provide to a client who develops cellulitis in the right arm after a right modified radical mastectomy?
Correct Answer: A
Rationale: Antibiotics for 1-2 weeks are the primary treatment for cellulitis, a bacterial infection, to prevent complications in a post-mastectomy client with lymphedema risk.
Question 2 of 5
The nurse assesses vital signs on a client who has had epidural anesthesia. For which of the following should the nurse assess next?
Correct Answer: A
Rationale: Epidural anesthesia can cause urinary retention due to sensory and motor nerve blockade. Assessing for bladder distention is critical to prevent complications like bladder overdistension.
Question 3 of 5
The physician ordered I.V. naloxone (Narcan) to reverse the respiratory depression from morphine administration. After administration of the naloxone the nurse should:
Correct Answer: C
Rationale: Naloxone has a shorter half-life than morphine, so respiratory depression may recur. Frequent monitoring for 4-6 hours ensures timely detection and additional doses if needed.
Question 4 of 5
What should the nurse include in the care plan for a client with dysphagia?
Correct Answer: B
Rationale: The chin-tuck maneuver reduces aspiration risk in clients with dysphagia.
Question 5 of 5
Which lab result indicates worsening acute renal failure?
Correct Answer: A
Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.