NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
What would be the nurse's best response to the client's expressed feelings of isolation as a result of having hepatitis?
Correct Answer: D
Rationale: Encouraging the client to express feelings (
D) fosters therapeutic communication and addresses emotional needs. Dismissing feelings (A,
C) or assuming others' fears (
B) is non-therapeutic and unhelpful.
Question 2 of 5
Which of the following explains the influence of aging on the development of peripheral vascular disease?
Correct Answer: B
Rationale: Aging increases vascular resistance due to arterial stiffening and reduced elasticity from collagen buildup and atherosclerosis. This elevates blood pressure and impairs peripheral blood flow, contributing to PVD. Resistance does not decrease, and viscosity changes are less significant in aging-related PVD.
Question 3 of 5
Which of the following individuals are at risk for acquiring acute lymphocytic leukemia (ALL)? The client who is:
Correct Answer: A
Rationale: ALL is most common in children and young adults, with a peak incidence in those aged 20–30 years. Older adults (40–70 years) are more likely to develop AML or CLL.
Question 4 of 5
A client with toxic shock has been receiving ceftriaxone sodium (Rocephin), 1 g every 12 hours. In addition to culture and sensitivity studies, which other laboratory findings does the nurse monitor?
Correct Answer: A
Rationale: Ceftriaxone can cause nephrotoxicity, so the nurse should monitor serum creatinine to assess kidney function. Spinal fluid analysis, arterial blood gases, and serum osmolality are not routinely monitored for ceftriaxone therapy.
Question 5 of 5
The cyanosis that accompanies bacterial pneumonia is primarily caused by which of the following?
Correct Answer: D
Rationale: Cyanosis in pneumonia results from decreased blood oxygenation due to impaired gas exchange in the lungs. Cardiac output, pleural effusion, and peripheral circulation may contribute but are not primary causes.