NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
What is the nurse's priority for a client with an altered level of consciousness?
Correct Answer: A
Rationale: Assessing the airway is the priority to ensure adequate oxygenation in a client with altered consciousness.
Question 2 of 5
A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply.
Correct Answer: A,B
Rationale: Preventing constipation (
A) and administering lactulose (
B) reduce ammonia levels, key in managing hepatic encephalopathy. Coordination (
C) and pupil reaction (
D) are unrelated. High carbohydrates (E) and physical activity (F) are not primary goals.
Question 3 of 5
The rate at which I.V. fluids are infused is based on the burn client's:
Correct Answer: B
Rationale: The Parkland Formula uses total body weight and percentage of BSA burned to calculate fluid requirements, ensuring adequate resuscitation based on burn severity.
Question 4 of 5
A client with a spinal cord injury who has been active in sports and outdoor activities talks almost obsessively about his past activities. In tears, one day he asks the nurse, 'Why can't I stop talking about these things? I know those days are gone forever.' Which of the following responses by the nurse conveys the best understanding of the client's behavior?
Correct Answer: C
Rationale: Reflecting on past activities is part of grieving, helping the client process the loss of function.
Question 5 of 5
A client has an amylase level of 450 units/L and lipase level of 659 units/L. The client has mid-epigastric pain with nausea. What assessment helps the nurse to determine severity of the client's condition?
Correct Answer: A
Rationale: Ranson's criteria (
A) assess pancreatitis severity based on lab and clinical findings (e.g., age, white blood cell count, glucose). Vital signs (
B) and urine output (
C) are important but less specific. Glasgow Coma Scale (
D) is for neurological assessment, not pancreatitis.