NCLEX-RN
Med Surg RN NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following explains the influence of aging on the development of peripheral vascular disease?
Correct Answer: B
Rationale: Aging increases vascular resistance due to arterial stiffening and reduced elasticity from collagen buildup and atherosclerosis. This elevates blood pressure and impairs peripheral blood flow, contributing to PVD. Resistance does not decrease, and viscosity changes are less significant in aging-related PVD.
Question 2 of 5
Which of the following statements is most accurate regarding the long-term toxic effects of cancer treatments on the immune system?
Correct Answer: B
Rationale: Radiation and combination chemotherapy can cause significant and prolonged immune suppression, increasing infection risk, which is a well-documented long-term effect.
Question 3 of 5
The nurse is preparing to administer a medication to a client with a history of Clostridium difficile infection. Which precaution is most important?
Correct Answer: B
Rationale: Using a dedicated stethoscope for a client with C. difficile prevents cross-contamination, as the infection spreads via contact with contaminated surfaces. A face mask is unnecessary, a private room is ideal but not always required, and alcohol wipes are ineffective against C. difficile spores. CN: Safety and infection control; CL: Synthesize
Question 4 of 5
A client with diverticular disease is receiving psyllium hydrophilic mucilloid (Metamucil). The drug has been effective when the client tells the nurse that he:
Correct Answer: A
Rationale: Psyllium (Metamucil) is effective when the client passes stool without cramping, indicating improved bowel regularity and reduced irritation. Absence of diarrhea, anxiety, or gas are not primary indicators of its effectiveness. CN: Pharmacological and parenteral therapies; CL: Evaluate
Question 5 of 5
What is the purpose of sodium polystyrene sulfonate in acute renal failure?
Correct Answer: B
Rationale: Sodium polystyrene sulfonate removes potassium from the body, treating hyperkalemia.