NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which of the following dietary measures would be useful in preventing esophageal reflux?
Correct Answer: A
Rationale: Small, frequent meals reduce gastric distention and lower the risk of reflux compared to large meals. The other options are less effective or may worsen symptoms.
Question 2 of 5
A nurse should interpret which of the following as an early sign of a tension pneumothorax in a client with chest trauma?
Correct Answer: C
Rationale: Respiratory distress is an early sign of tension pneumothorax due to increasing intrathoracic pressure. Diminished breath sounds and tracheal deviation are later signs. 'Skilled heart sounds' is likely a typo and unclear.
Question 3 of 5
A client with acute renal failure has edema. The nurse should:
Correct Answer: B
Rationale: Fluid restriction helps manage edema in acute renal failure.
Question 4 of 5
A client with colon cancer is scheduled for chemotherapy post-resection. Which of the following should the nurse monitor for as a common side effect of chemotherapy?
Correct Answer: B
Rationale: Nausea and vomiting are common side effects of chemotherapy due to its impact on rapidly dividing cells, including those in the gastrointestinal tract. Hypertension, hyperglycemia, and joint pain are less commonly associated with chemotherapy. CN: Pharmacological and parenteral therapies; CL: Analyze
Question 5 of 5
A client tells the nurse on admission that she is uneasy about having to leave her children with a relative while being in the hospital for surgery. The most appropriate action by the nurse is to do which of the following?
Correct Answer: D
Rationale: The health history is conducted to ascertain a client's state of wellness or illness. A personal dialogue between a client and a nurse is conducted to obtain information.
To achieve a relationship of mutual trust and respect, the nurse must have the ability to communicate a sincere interest in the client. The therapeutic communication must be adapted to the responses, problems, and needs of the client. Reassurance and the remaining options do not demonstrate that the nurse is genuinely interested in the client's needs. (CN: Psychosocial adaptation; CL: Synthesize)