Questions 108

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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

Which of the following actions should the nurse plan to do first when caring for a client who is experiencing spiritual distress?

Correct Answer: D

Rationale: Helping the client explore their own values and beliefs is the first step in addressing spiritual distress, as it establishes a foundation for personalized spiritual support.

Question 2 of 5

A 17-year-old, sexually active female client is seen in the family planning clinic and requests hormonal contraceptives. Before examination, the nurse should explain the importance of regular Papanicolaou (Pap) smears. This recommendation is based on the current screening guidelines of the American Cancer Society for Pap smears, which state that:

Correct Answer: B

Rationale: American Cancer Society guidelines recommend Pap smears every 3 years after four consecutive normal annual smears for women who are sexually active or over 21. Screening does not start at age 12, and every-other-year screening is not standard.

Question 3 of 5

To prepare the irrigation solution used for removal of cerumen, the nurse should use:

Correct Answer: A

Rationale: Normal saline is the preferred solution for ear irrigation, as it is isotonic and safe for the ear canal, minimizing irritation or risk of infection.

Question 4 of 5

When preparing a teaching plan for an adult client about general anesthesia induction, which explanation would be most appropriate?

Correct Answer: C

Rationale: For adults, explaining that intravenous medication induces sleep is accurate and simple, avoiding overwhelming details while addressing the primary method of general anesthesia induction.

Question 5 of 5

The client with a laryngectomy communicates to the nurse that he does not want his family to see him. He indicates that he thinks the opening in his throat is disgusting. Which of the following nursing diagnoses would be most appropriate?

Correct Answer: C

Rationale: Disturbed body image related to neck surgery addresses the client's negative feelings about the stoma's appearance. Deficient knowledge is less relevant here. Disturbed personal identity is broader. Hopelessness implies a deeper psychological state not fully supported by the description.

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