NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
What is the purpose of sodium polystyrene sulfonate in acute renal failure?
Correct Answer: B
Rationale: Sodium polystyrene sulfonate removes potassium from the body, treating hyperkalemia.
Question 2 of 5
A client with a recent total knee replacement reports swelling in the operative leg. Which nursing action is most appropriate?
Correct Answer: A
Rationale: Elevating the leg reduces swelling by promoting venous return, a standard post-surgical intervention.
Question 3 of 5
The nurse is assessing a client with cirrhosis who has developed hepatic encephalopathy. The nurse should notify the physician of a decrease in which lab serum that is a potential precipitating factor for hepatic encephalopathy?
Correct Answer: C
Rationale: Hypokalemia (
C) can precipitate hepatic encephalopathy by increasing ammonia production. Aldosterone (
A), creatinine (
B), and protein (
D) are less directly related.
Question 4 of 5
Following a gastrectomy, the nurse should position the client in which of the following positions?
Correct Answer: D
Rationale: Fowler's position (semi-upright) promotes lung expansion, reduces aspiration risk, and aids drainage post-gastrectomy. The other positions are less optimal for postoperative recovery.
Question 5 of 5
The nurse is reviewing the care plan of a client with Multiple Sclerosis. Which of the following nursing diagnoses should receive further validation?
Correct Answer: C
Rationale: Seizures are not a common manifestation of MS, as tremors and myelin loss do not directly cause seizures. The other diagnoses are valid, as MS commonly causes mobility issues, fall risks, and skin integrity concerns.