NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
What should the nurse include in the care plan for a client with dysphagia?
Correct Answer: B
Rationale: The chin-tuck maneuver reduces aspiration risk in clients with dysphagia.
Question 2 of 5
The nurse has asked the nursing assistant to ambulate a client with Parkinson's disease. The nurse observes the nursing assistant pulling on the client's arms to get the client to walk forward. The nurse should:
Correct Answer: B
Rationale: Teaching the client to march in place helps overcome freezing gait, a common Parkinson's symptom. Pulling on arms is unsafe, returning to bed is unnecessary, and muscle relaxants are inappropriate.
Question 3 of 5
Which lab result indicates worsening acute renal failure?
Correct Answer: A
Rationale: Elevated creatinine indicates reduced kidney function in acute renal failure.
Question 4 of 5
When a client with thrombocytopenia has a severe headache, the nurse interprets that this may indicate which of the following?
Correct Answer: B
Rationale: Thrombocytopenia increases the risk of bleeding, and a severe headache may indicate cerebral bleeding, a life-threatening complication. The nurse should prioritize this possibility over stress, migraine, or sinus issues, which are less likely in this context.
Question 5 of 5
The client with a laryngectomy is being discharged. The nurse should determine that the client understands to do which of the following self-care measures? Select all that apply.
Correct Answer: A,B,C
Rationale: Self-care measures include home humidification to keep the airway moist, using a stoma shield during bathing to prevent water entry, and consuming 2-3 L/day of fluids to maintain hydration. Spicy foods and low-fiber diets are not typically restricted.