NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Which of the following health promotion activities would be appropriate for the nurse to suggest that the client with cirrhosis add to the daily routine at home?
Correct Answer: A
Rationale: Multivitamins (
A) address nutritional deficiencies common in cirrhosis. Alcohol (
B) must be completely avoided, sleeping pills (
C) risk encephalopathy, and social isolation (
D) is unnecessary.
Question 2 of 5
The nurse should assess an older adult with macular degeneration for:
Correct Answer: A
Rationale: Macular degeneration primarily affects the macula, leading to loss of central vision, which impairs activities like reading and recognizing faces.
Question 3 of 5
Which explanation would be most appropriate for a child when teaching him about general anesthesia induction?
Correct Answer: D
Rationale: For a child, explaining inhalation of medication via a mask is age-appropriate, as it's less frightening than mentioning injections and aligns with common pediatric anesthesia induction methods.
Question 4 of 5
A client with pneumonia is experiencing pleuritic chest pain. The nurse should assess the client for:
Correct Answer: C
Rationale: Pleuritic chest pain is sharp or moderate and worsens with inspiration due to inflamed pleura. Constant aching, midsternal pain, or muscle spasm pain are not characteristic of pleurisy.
Question 5 of 5
A client with a history of renal calculi formation is being discharged after surgery to remove the calculus. What instructions should the nurse include in the client's discharge teaching plan?
Correct Answer: A,B
Rationale: High fluid intake (2-3 L) prevents stone recurrence, and straining urine monitors for stone passage. Dairy restriction or urine alkalinization depends on stone type.