NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
When assessing a client who has had spinal anesthesia, which of the following would the nurse expect to find?
Correct Answer: C
Rationale: After spinal anesthesia, sensation typically returns distally (toes) first, progressing proximally (perineal area), as the anesthetic wears off in a predictable pattern.
Question 2 of 5
The nurse should monitor the surgical client closely for which clinical manifestation with the administration of naloxone (Narcan)?
Correct Answer: A
Rationale: Naloxone can cause dizziness due to rapid reversal of opioid effects, leading to autonomic changes. This is a common side effect to monitor in surgical clients.
Question 3 of 5
Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?
Correct Answer: C
Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.
Question 4 of 5
On admission to same-day surgery, the nurse reviews the chart to verify the client's identification documentation. Which of the following is most important?
Correct Answer: C
Rationale: The identification bracelet is the most reliable method to verify client identity, ensuring safety and preventing errors in same-day surgery.
Question 5 of 5
A client undergoing a mastectomy asks why she needs to sign a blood transfusion consent form. The nurse's best response is:
Correct Answer: A
Rationale: Explaining that the consent is a precaution for potential bleeding addresses the client's question accurately and promotes informed consent.