NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Which of the following increases the risk of having a large abdominal aortic aneurysm rupture?
Correct Answer: C
Rationale: High blood pressure increases wall stress in a large abdominal aortic aneurysm, elevating the risk of rupture per Laplace's law (wall tension ˆ pressure × radius). Anemia, dehydration, and hyperglycemia do not directly increase rupture risk.
Question 2 of 5
The nurse has an order to administer 2 oz of lactulose (Cephulac) to a client who has cirrhosis. How many milliliters of lactulose should the nurse administer?
Correct Answer: 60 mL
Rationale: 2 oz equals 60 mL (1 oz = 30 mL), so the nurse should administer 60 mL of lactulose (
A).
Question 3 of 5
What is the main reason desflurane (Suprane) and sevoflurane (Ultane), volatile liquid anesthesia agents, are used for surgical clients who go home the day of surgery?
Correct Answer: D
Rationale: Desflurane and sevoflurane are rapidly eliminated, allowing quicker recovery and discharge, which is ideal for same-day surgery patients.
Question 4 of 5
When admitting a client with a fractured extremity, the nurse should first focus the assessment on which of the following?
Correct Answer: C
Rationale: Assessing distal to the fracture checks for neurovascular compromise, a priority to prevent complications.
Question 5 of 5
The nurse is admitting a 68-year-old male to the medical floor. The echocardiogram report revealed left ventricular enlargement. The nurse notes 2+ pitting edema in the ankles when getting the client into bed. Based on this finding, what should the nurse do first?
Correct Answer: A
Rationale: Edema and left ventricular enlargement suggest heart failure, which can cause pulmonary edema. Assessing respiratory status first detects signs of respiratory distress.