NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following home care instructions would be appropriate for a client with a laryngectomy?
Correct Answer: B
Rationale: Adequate humidity prevents stoma crusting and maintains airway moisture. Mouth care frequency may need to be higher. Diet should be tailored to swallowing ability, not necessarily soft or bland. Physical activity should be encouraged, not limited, unless contraindicated.
Question 2 of 5
A client with osteoporosis is prescribed alendronate (Fosamax). Which instruction should the nurse include?
Correct Answer: B
Rationale: Remaining upright for 30 minutes after taking alendronate prevents esophageal irritation.
Question 3 of 5
The nurse evaluates the effectiveness of the client's postoperative plan of care. Which of the following would be an expected outcome for a client with an ileal conduit?
Correct Answer: D
Rationale: Frequent pouch emptying is an expected outcome, preventing complications like leakage or infection. Aspirin is unsafe, and stoma catheterization is not typical.
Question 4 of 5
What is the priority nursing action for a client with a suspected brain tumor?
Correct Answer: B
Rationale: Monitoring neurological status is the priority to detect changes associated with a brain tumor.
Question 5 of 5
The nurse is assessing a client with heart failure who is receiving home health care monitoring using electronic devices including scales, blood pressure monitoring, and structured questions to which the client responds daily on a touch-screen monitor. The nurse reviews data obtained within the last 3 days. The nurse calls the client to follow up. The nurse should ask the client which of the following first:
Correct Answer: B
Rationale: A 5-lb weight gain in 3 days and rising blood pressure suggest fluid retention. Asking about shortness of breath first assesses for pulmonary edema, a serious complication.