Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Med Surg Questions Questions

Extract:


Question 1 of 5

Which of the following activities indicates that the client with cancer is adapting well to body image changes?

Correct Answer: D

Rationale: Volunteering in a client-to-client program indicates positive adaptation to body image changes, as it reflects confidence and engagement with others despite physical changes.

Question 2 of 5

A client has a Pearson attachment on the traction setup. What is the purpose of this attachment?

Correct Answer: A

Rationale: The Pearson attachment supports the lower leg, maintaining alignment in balanced suspension traction.

Question 3 of 5

The nurse should ask all clients age 65 or older who are having surgery which question?

Correct Answer: B

Rationale: Asking about an advance directive ensures the client's wishes are documented, especially critical for older adults facing surgical risks, to guide care in case of incapacity.

Question 4 of 5

The nurse is assessing a client with dark skin for presence of a Stage I pressure ulcer. The nurse should:

Correct Answer: C

Rationale: In dark skin, Stage I pressure ulcers appear as darker areas compared to surrounding tissue, due to persistent redness or discoloration.

Question 5 of 5

The nurse is teaching a client with osteoporosis about fall prevention. Which of the following should be included? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Removing rugs, installing grab bars, ensuring lighting, and exercising prevent falls. High-heeled shoes increase fall risk.

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