NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Which information should the nurse include when performing discharge teaching with a client who had an anterolateral approach for a total hip replacement? Select all that apply.
Correct Answer: A,B,C,D
Rationale: These measures prevent dislocation and promote recovery. Motion is encouraged, not restricted, to aid rehabilitation.
Question 2 of 5
A client who has had a total hip replacement has a dislocated hip prosthesis. The nurse should first?
Correct Answer: D
Rationale: Notifying the surgeon is the priority, as dislocation requires urgent medical intervention.
Question 3 of 5
A client who has had a lumbar laminectomy with a spinal fusion is sitting in a chair. In which position are his feet if he is complying with his postoperative instructions?
Correct Answer: A
Rationale: Feet flat on the floor maintain neutral spine alignment, reducing strain on the surgical site.
Question 4 of 5
When admitting a client with a fractured extremity, the nurse should first focus the assessment on which of the following?
Correct Answer: C
Rationale: Assessing distal to the fracture checks for neurovascular compromise, a priority to prevent complications.
Question 5 of 5
The client asks the nurse what his activity limitations are while he is in Buck's traction. The nurse should tell the client:
Correct Answer: B
Rationale: Buck's traction requires lying flat to maintain traction alignment, limiting movement.