Questions 108

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions Medical Surgical Nursing Questions

Extract:


Question 1 of 5

Which of the following indicates a potential complication of diabetes mellitus?

Correct Answer: B

Rationale: Hypertension (160/100 mm Hg) is a common complication of diabetes, contributing to cardiovascular and kidney disease.

Question 2 of 5

The nurse identifies deficient knowledge when the client undergoing induction therapy for leukemia makes which of the following statements?

Correct Answer: B

Rationale: During leukemia induction therapy, the client is at high risk for infection due to neutropenia. Pets like cats can carry pathogens (e.g.,
Toxoplasma), and the statement about returning to a cat indicates a knowledge deficit about infection risks. The other statements reflect appropriate self-care measures.

Question 3 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 4 of 5

The nurse has asked the nursing assistant to ambulate a client with Parkinson's disease. The nurse observes the nursing assistant pulling on the client's arms to get the client to walk forward. The nurse should:

Correct Answer: B

Rationale: Teaching the client to march in place helps overcome freezing gait, a common Parkinson's symptom. Pulling on arms is unsafe, returning to bed is unnecessary, and muscle relaxants are inappropriate.

Question 5 of 5

When a client with thrombocytopenia has a severe headache, the nurse interprets that this may indicate which of the following?

Correct Answer: B

Rationale: Thrombocytopenia increases the risk of bleeding, and a severe headache may indicate cerebral bleeding, a life-threatening complication. The nurse should prioritize this possibility over stress, migraine, or sinus issues, which are less likely in this context.

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