NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
Which of the following findings would most likely indicate the presence of a respiratory infection in a client with asthma?
Correct Answer: A
Rationale: A productive cough with yellow sputum suggests a respiratory infection, which can exacerbate asthma. Wheezing, chest tightness, and tachypnea are typical asthma symptoms, not specific to infection.
Question 2 of 5
Which stone type is associated with acidic urine?
Correct Answer: B
Rationale: Uric acid stones form in acidic urine, requiring alkalinization.
Question 3 of 5
The nurse is planning care for a client who had surgery for abdominal aortic aneurysm repair 2 days ago. The pain medication and the use of relaxation and imagery techniques are not relieving the client's pain and the client refuses to get out of bed to ambulate as ordered. The nurse contacts the physician, explains the situation, and provides information about drug dose, frequency of administration, the client's vital signs, and the client's score on the pain scale. The physician tells the nurse that the current order for pain medication is sufficient and the client will be fine in a few days. The nurse should next:
Correct Answer: A
Rationale: The nurse should advocate for the client by reiterating to the physician that the current pain management is ineffective, preventing ambulation, which is critical for recovery post-AAA repair. This aligns with ethical and professional standards. Asking another provider, waiting, or reporting to the team leader delays care.
Question 4 of 5
Postoperative nursing management of the client following a radical neck dissection for laryngeal cancer requires:
Correct Answer: D
Rationale: Frequent suctioning of the laryngectomy tube prevents mucus buildup and maintains airway patency. Complete bed rest is unnecessary; early mobility is encouraged. Vital signs should be monitored more frequently than once per shift. The third option is unclear but likely incorrect.
Question 5 of 5
A 70-year-old female is scheduled to undergo mitral valve replacement for severe mitral stenosis and mitral regurgitation. Although the diagnosis was made during childhood, she did not have symptoms until 4 years ago. Recently, she noticed increased symptoms, despite daily doses of digoxin and furosemide. During the initial interview with the client, the nurse would most likely learn that the client's childhood health history included:
Correct Answer: C
Rationale: Rheumatic fever in childhood is a common cause of mitral valve disease, leading to stenosis or regurgitation later in life.