NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Which of the following factors would most likely contribute to the development of a client's hiatal hernia?
Correct Answer: B
Rationale: Obesity (e.g., 5'3†and 190 lb) increases intra-abdominal pressure, a major contributor to hiatal hernia development. The other factors are less directly related.
Question 2 of 5
The nurse is assessing a client with anemia. In order to plan nursing care, the nurse should focus the assessment on which of the following?
Correct Answer: C
Rationale: Cold intolerance is a common symptom of anemia due to reduced oxygen-carrying capacity, and assessing it helps plan supportive care.
Question 3 of 5
The client with acute lymphocytic leukemia (ALL) is at risk for infection. What should the nurse do?
Correct Answer: A
Rationale: Clients with ALL are immunocompromised due to neutropenia, increasing infection risk. Placing the client in a private room reduces exposure to pathogens. Masks, gowns, and visitor restrictions may be used in severe cases, but a private room is the first step.
Question 4 of 5
When performing the Heimlich maneuver on a conscious adult victim, the rescuer delivers inward and upward thrusts specifically:
Correct Answer: D
Rationale: The Heimlich maneuver involves thrusts below the xiphoid process and above the umbilicus to safely dislodge a foreign body without injuring internal organs.
Question 5 of 5
What should the nurse include in the care plan for a client with a spinal cord injury?
Correct Answer: A
Rationale: Frequent repositioning prevents pressure ulcers in clients with spinal cord injuries.