NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
What should the nurse assess first in a client with a recent head injury?
Correct Answer: A
Rationale: Pupil response is assessed first to detect neurological changes, such as increased intracranial pressure, in a head injury.
Question 2 of 5
Which of the following statements indicates the client understands the expected course of Ménière'sdisease?
Correct Answer: B
Rationale: Ménière'sdisease is a chronic condition with no cure, but episodes can often be managed with medications, diet, and lifestyle changes, though hearing loss may progress over time.
Question 3 of 5
Which activity increases the risk of renal calculi?
Correct Answer: B
Rationale: A sedentary lifestyle promotes urinary stasis, increasing stone risk.
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
The nurse is preparing a client for a paracentesis. The nurse should:
Correct Answer: A
Rationale: Voiding before paracentesis (
A) prevents bladder injury during the procedure. Side-lying (
B) is incorrect; upright is preferred. IV sedatives (
C) are not routine, and NPO status (
D) is unnecessary.