NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
What is the nurse's priority when a client experiences a seizure?
Correct Answer: B
Rationale: Protecting the airway is the priority to ensure oxygenation during a seizure.
Question 2 of 5
Which of the following characteristics would put a client at the greatest risk for impaired wound healing after abdominal surgery?
Correct Answer: B
Rationale: Poorly controlled diabetes impairs wound healing due to high glucose levels affecting immune response and tissue repair, posing a greater risk than age or other conditions listed.
Question 3 of 5
A client with multiple sclerosis (MS) is experiencing bowel incontinence and is starting a bowel retraining program. Which strategy is inappropriate?
Correct Answer: D
Rationale: Limiting fluid intake to 1,000 mL/day is inappropriate, as adequate hydration is needed for bowel function. High-fiber diet, regular elimination times, and elevated toilet seats support bowel retraining.
Question 4 of 5
When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism, the nurse should inform the client that these feelings are:
Correct Answer: D
Rationale: Low thyroid hormone levels in hypothyroidism can cause depression and sadness, which typically improve with thyroid hormone replacement therapy.
Question 5 of 5
Which of the following statements would indicate to the nurse that the client who has undergone repair of her nasal septum has understood the discharge instructions?
Correct Answer: B
Rationale: Taking stool softeners and modifying the diet to prevent constipation avoids straining (Valsalva's maneuver), which could cause bleeding or complications post-nasal surgery.