NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
What is the rationale that supports multidrug treatment for clients with tuberculosis?
Correct Answer: D
Rationale: Multidrug therapy for tuberculosis prevents the development of resistant bacterial strains by targeting different aspects of bacterial growth. Potentiation, reduced adverse effects, or lower dosages are not the primary rationale.
Question 2 of 5
The nurse develops a plan of care for a client in the initial postoperative period following a lumbar laminectomy. Which of the following activities is contraindicated?
Correct Answer: D
Rationale: Prolonged sitting stresses the surgical site and is contraindicated post-laminectomy.
Question 3 of 5
The nurse is assessing a client with chronic hepatitis B who is receiving Lamivudine (Epivir). What information is most important to communicate to the physician?
Correct Answer: A
Rationale: A 3 kg weight loss in 2 days (
A) is significant and may indicate worsening liver function or dehydration, requiring urgent attention. Nausea (
B), low-grade fever (
C), and fatigue (
D) are common but less critical symptoms.
Question 4 of 5
Which assessment is most important for a client with a traumatic brain injury?
Correct Answer: A
Rationale: The Glasgow Coma Scale is critical to assess neurological status and guide management in traumatic brain injury.
Question 5 of 5
A 60-year-old male client comes into the emergency department with a complaint of crushing substernal chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction (MI). Immediate admission orders include oxygen by nasal cannula at 4 L/minute, blood work, a chest radiograph, a 12-lead electrocardiogram (ECG), and 2 mg of morphine sulfate given I.V. The nurse should first:
Correct Answer: A
Rationale: Administering morphine first relieves pain, reducing myocardial oxygen demand and stabilizing the client. ECG and blood work follow to confirm diagnosis, but pain management is the priority.