NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which of the following interventions would be most effective in preventing the development of acute respiratory distress syndrome (ARDS)?
Correct Answer: D
Rationale: Adequate fluid replacement in hypovolemia prevents shock, a major ARDS trigger. Smoking cessation, potassium levels, and hypercapnia monitoring are less directly related to ARDS prevention.
Question 2 of 5
Pseudoephedrine (Sudafed) has been ordered as a nasal decongestant. Which of the following is a possible adverse effect of this drug?
Correct Answer: D
Rationale: Pseudoephedrine is a sympathomimetic that can cause central nervous system stimulation, leading to restlessness. Constipation, bradycardia, and diplopia are not common adverse effects of this medication.
Question 3 of 5
A client has malignant pleural effusions. The nurse should conduct a focused assessment to determine if the client has which of the following? Select all that apply.
Correct Answer: D,E,F
Rationale: Chest pain (
D), dyspnea (E), and cough (F) are common symptoms of malignant pleural effusions due to fluid accumulation and lung compression.
Question 4 of 5
A physician orders a lengthy X-ray examination for a client with osteoarthritis. Which of the following actions by the nurse would demonstrate client advocacy?
Correct Answer: A
Rationale: Dividing the session into shorter ones reduces discomfort, advocating for the client's comfort while ensuring the test is completed.
Question 5 of 5
A client is in balanced suspension traction using a half-ring Thomas splint with a Pearson attachment that suspends the lower extremity and applies direct skeletal traction for a hip fracture. Which of the following nursing assessments would not be appropriate?
Correct Answer: C
Rationale: Neurovascular checks proximal to the splint are less relevant, as distal checks assess circulation and nerve function affected by the fracture and traction.