NCLEX-RN
NCLEX RN Med Surg Questions Questions
Extract:
Question 1 of 5
Which of the following individuals should the nurse consider to have the highest priority for receiving seasonal influenza vaccination?
Correct Answer: C
Rationale: The 50-year-old caring for an immunocompromised spouse is the highest priority for influenza vaccination to prevent transmission. Others have lower risk profiles.
Question 2 of 5
A client who has undergone a mitral valve replacement has persistent bleeding from the sternal incision during the early postoperative period. The nurse should do which of the following? Select all that apply.
Correct Answer: B,C,D
Rationale: Checking lab values (
B), confirming blood products (
C), and monitoring chest tube drainage (
D) address bleeding and ensure timely intervention. Warfarin and dopamine are inappropriate for acute bleeding.
Question 3 of 5
Which factor besides the degree of neutropenia does the nurse assess in determining the client's risk of infection?
Correct Answer: A
Rationale: The duration of neutropenia significantly affects infection risk, as prolonged neutropenia increases exposure to pathogens. Pre-existing health status, body build, and childhood resistance are less directly relevant to current infection risk.
Question 4 of 5
In setting goals for a client with advanced liver cancer who has poor nutrition, the nurse determines that which of the following is a realistic desired outcome for the client? The client will:
Correct Answer: D
Rationale: Maintaining current weight is a realistic goal for a client with advanced liver cancer and poor nutrition, as weight gain or normalized albumin may be unachievable due to disease progression.
Question 5 of 5
The nurse is caring for a client who is using a portable wound suction unit (see figure). Six hours following surgery, the drainage unit is full. The nurse should do which of the following?
Correct Answer: C
Rationale: A full portable wound suction unit (e.g., Jackson-Pratt) should be emptied to maintain suction and prevent complications. The drainage is then measured and recorded.