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NCLEX RN Questions Medical Surgical Nursing Questions

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Question 1 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 2 of 5

Doxorubicin (Adriamycin) is prescribed for a female client with breast cancer. The client is distressed about hair loss. The nurse should do which of the following?

Correct Answer: C

Rationale: Providing resources for wig selection before hair loss begins helps the client prepare for and cope with chemotherapy-induced alopecia, maintaining her self-esteem.

Question 3 of 5

Because of steroid excess after a bilateral adrenalectomy, the nurse should assess the client for:

Correct Answer: B

Rationale: Excess steroids, even post-adrenalectomy, can cause delayed wound healing due to their catabolic effects.

Question 4 of 5

A client reports that she has gained weight and that her face and body are 'rounder,' while her legs and arms have become thinner. A tentative diagnosis of Cushing's disease is made. When examining this client, the nurse would expect to find:

Correct Answer: C

Rationale: Cushing's disease causes thin, fragile skin due to excess cortisol, leading to easy bruising.

Question 5 of 5

What is a key nursing intervention for a client receiving peritoneal dialysis?

Correct Answer: A

Rationale: Peritonitis is a serious complication of peritoneal dialysis, requiring vigilant monitoring.

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