NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
When a client cannot read or write but is of sound mind, the nurse should read the consent to the client in the presence of two witnesses and:
Correct Answer: B
Rationale: For a client of sound mind who cannot read/write, reading the consent and having the client mark an 'X' with two witnesses ensures legal informed consent without requiring a guardian.
Question 2 of 5
What is the nurse's best action for a client with a C6 spinal cord injury?
Correct Answer: A
Rationale: Assessing respiratory status is the priority due to potential diaphragmatic impairment in a C6 injury.
Question 3 of 5
The nurse teaches the client with an ileal conduit measures to prevent a urinary loss. Which of the following measures would be most effective?
Correct Answer: B
Rationale: Maintaining high fluid intake (2,000-3,000 mL) prevents urinary stasis and infection, the most effective measure for reducing urinary loss risk.
Question 4 of 5
In the oliguric phase of acute renal failure, the nurse should assess the client for:
Correct Answer: A
Rationale: Pulmonary edema is a risk in the oliguric phase due to fluid overload from reduced urine output.
Question 5 of 5
A client with uric acid stones is prescribed a low-purine diet. Which food is allowed?
Correct Answer: C
Rationale: Apples are low in purines, suitable for a uric acid stone diet.