Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Medical Surgical NCLEX RN Questions

Extract:


Question 1 of 5

Which of the following interventions will be most effective in improving transcultural communications with the client?

Correct Answer: C

Rationale: Establishing rapport and listening to concerns fosters trust and understanding, which are essential for effective transcultural communication.

Question 2 of 5

After pituitary surgery, the nurse should assess the client for which of the following?

Correct Answer: A

Rationale: Low urine specific gravity (<1.010) may indicate diabetes insipidus, a common complication post-pituitary surgery due to reduced vasopressin.

Question 3 of 5

The client is a survivor of non-Hodgkin's lymphoma. Which of the following statements indicates the client needs additional information?

Correct Answer: B

Rationale: The survival rate for non-Hodgkin's lymphoma is inversely proportional to the incidence of second malignancies, as secondary cancers reduce survival. The statement that it is directly proportional indicates a misunderstanding. Regular screening, knowing disease stage, and treatment plans are correct.

Question 4 of 5

A client has a Jackson-Pratt drainage tube in place the first day after surgical repair of a ruptured diverticulum. The client asks the nurse the purpose of the drain. What is the nurse's best response?

Correct Answer: A

Rationale: A Jackson-Pratt drain removes fluid and blood from the surgical site, preventing infection in the peritoneal cavity by reducing fluid accumulation post-diverticulum repair.

Question 5 of 5

A client has had multiple sclerosis (MS) for 15 years and has received various drug therapies. What is the primary reason why the nurse has found it difficult to evaluate the effectiveness of the drugs that the client has used?

Correct Answer: B

Rationale: Spontaneous remissions in MS make it challenging to attribute symptom improvement to drugs versus natural disease course. Intolerance, multiple drugs, or delayed responses are less primary factors.

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