NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers 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
Which of the following measures would most likely be successful in reducing pleuritic chest pain in a client with pneumonia?
Correct Answer: D
Rationale: Splinting the rib cage during coughing stabilizes the chest, reducing pleuritic pain. Shallow breathing may worsen atelectasis. Abdominal breathing aids ventilation but not pain. 'Inceptive spirit' is likely a typo for incentive spirometry, which promotes lung expansion but not direct pain relief.
Question 3 of 5
A nurse is developing a care plan for a client with hepatic encephalopathy. Which of the following are goals for the care for this client? Select all that apply.
Correct Answer: A,B
Rationale: Preventing constipation (
A) and administering lactulose (
B) reduce ammonia levels in hepatic encephalopathy. Coordination (
C) and pupil reaction (
D) are less relevant. High carbohydrates (E) are not specific, and physical activity (F) may be limited.
Question 4 of 5
A client is admitted to the hospital after vomiting bright red blood and is diagnosed with a bleeding duodenal ulcer. The client develops a sudden, sharp pain in the midepigastric region along with a rigid, boardlike abdomen. These clinical manifestations most likely indicate which of the following?
Correct Answer: D
Rationale: Sudden, sharp midepigastric pain with a rigid, boardlike abdomen strongly suggests ulcer perforation, a life-threatening complication requiring urgent intervention. The other options do not align with these clinical manifestations.
Question 5 of 5
Which symptom suggests bladder cancer recurrence?
Correct Answer: C
Rationale: Hematuria is a common sign of bladder cancer recurrence.