NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
Which of the following interventions should the nurse anticipate incorporating into the client's plan of care when hepatic encephalopathy initially develops?
Correct Answer: D
Rationale: A low-protein diet (
D) reduces ammonia production in hepatic encephalopathy. NG tubes (
A), fluid restriction (
B), and albumin (
C) are not primary interventions.
Question 2 of 5
A client has an adrenal tumor and is scheduled for a bilateral adrenalectomy. During preoperative teaching, the nurse teaches the client how to do deep breathing exercises after surgery by telling the client to:
Correct Answer: B
Rationale: Holding the abdomen with a pillow during deep breathing reduces pain and supports the surgical site post-adrenalectomy.
Question 3 of 5
The physician refers the client with unstable angina for a cardiac catheterization. The nurse explains to the client that this procedure is being used in this specific case to:
Correct Answer: B
Rationale: Cardiac catheterization in unstable angina assesses the extent of coronary artery blockage to guide interventions like angioplasty or bypass surgery.
Question 4 of 5
Which of the following should be included in the teaching plan for a cancer client who is experiencing thrombocytopenia? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Thrombocytopenia increases bleeding risk, so using an electric razor (
A), soft-bristle toothbrush (
B), avoiding flossing (
C), and reporting bleeding (F) are critical to prevent and monitor bleeding complications. NSAIDs (
D) are contraindicated, and temperature monitoring (E) is unrelated to thrombocytopenia.
Question 5 of 5
What is the priority nursing action for a client with a suspected neurological deficit?
Correct Answer: C
Rationale: Monitoring vital signs is the priority to ensure stability and detect acute changes in a client with a suspected neurological deficit.