NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
When a client is receiving a cephalosporin, the nurse must monitor the client for which of the following?
Correct Answer: A
Rationale: Cephalosporins can rarely cause drug-induced hemolytic anemia by triggering an immune response that destroys red blood cells. The nurse should monitor for signs such as jaundice, dark urine, or a drop in hemoglobin. Purpura, infectious emboli, and ecchymosis are not commonly associated with cephalosporin use.
Question 2 of 5
A client is about to have a tympanoplasty, and asks the nurse what the surgical procedure involves. The nurse begins the conversation by:
Correct Answer: A
Rationale: Assessing the client's current understanding allows the nurse to tailor education to the client's knowledge level and address specific concerns effectively.
Question 3 of 5
The client asks the nurse, 'Is it really possible to lead a normal life with an ileostomy?' Which action by the nurse would be the most effective to address this question?
Correct Answer: C
Rationale: Arranging for a person with an ostomy to visit provides a relatable, firsthand perspective, addressing the client's concerns about normalcy effectively. Clergy, postponing concerns, or notifying the surgeon are less direct or supportive. CN: Psychosocial adaptation; CL: Synthesize
Question 4 of 5
A client 24 hours post-appendectomy reports sudden sharp abdominal pain and a fever of 101.2°F (38.4°C). The nurse's first action should be:
Correct Answer: B
Rationale: Sudden sharp pain and fever post-appendectomy suggest a complication like abscess or peritonitis. Notifying the surgeon ensures prompt evaluation and intervention.
Question 5 of 5
The nurse asks the client to state her name as soon as she regains consciousness postoperatively after a subtotal thyroidectomy and at each assessment. The nurse does this to monitor for signs of which of the following?
Correct Answer: C
Rationale: Asking the client to speak monitors for laryngeal nerve damage, which can cause vocal cord paralysis and hoarseness, a potential complication of thyroidectomy.