NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Which explanation would be most appropriate for a child when teaching him about general anesthesia induction?
Correct Answer: D
Rationale: For a child, explaining inhalation of medication via a mask is age-appropriate, as it's less frightening than mentioning injections and aligns with common pediatric anesthesia induction methods.
Question 2 of 5
What should the nurse include in the care plan for a client with a spinal cord injury?
Correct Answer: A
Rationale: Frequent repositioning prevents pressure ulcers in clients with spinal cord injuries.
Question 3 of 5
A client with cancer is admitted with suspected disseminated intravascular coagulation (DIC). Which laboratory finding supports this diagnosis?
Correct Answer: A
Rationale: DIC causes abnormal clotting and bleeding, leading to a prolonged prothrombin time (PT) due to consumption of clotting factors, supporting the diagnosis.
Question 4 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 5 of 5
Which of the following foods should the nurse teach a client with heart failure to limit when following a 2-g sodium diet?
Correct Answer: B
Rationale:
Tomato juice is high in sodium, which should be limited on a 2-g sodium diet to prevent fluid retention in heart failure.