NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Which activity should a client with an ileal conduit avoid?
Correct Answer: C
Rationale: Heavy lifting can strain the stoma site, increasing hernia risk.
Question 2 of 5
After pituitary surgery, the nurse should assess the client for which of the following?
Correct Answer: A
Rationale: Low urine specific gravity (<1.010) may indicate diabetes insipidus, a common complication post-pituitary surgery due to reduced vasopressin.
Question 3 of 5
Which activity would be appropriate to delegate to unlicensed personnel for a client diagnosed with a myocardial infarction who is stable?
Correct Answer: D
Rationale: Recording intake and output is within the scope of unlicensed personnel, as it involves observation and documentation, not assessment or teaching.
Question 4 of 5
Which of the following activities should the nurse include in the plan of care for a client with burn injuries to be carried out about one-half hour before the daily whirl pool bath and dressing change?
Correct Answer: C
Rationale: Administering an analgesic 30 minutes before a painful procedure like a whirlpool bath and dressing change ensures pain relief, improving patient comfort and cooperation. Soaking, removing, or slitting the dressing typically occurs during the procedure, not beforehand.
Question 5 of 5
Which statement by a client with a new ileal conduit indicates a need for further teaching?
Correct Answer: D
Rationale: Tight clothing can irritate the stoma and impair appliance function, indicating a misunderstanding of proper care.