NCLEX-RN
Med Surg RN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which of the following is a potential complication following cataract surgery? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Potential complications after cataract surgery include acute bacterial endophthalmitis (infection), retrobulbar hemorrhage (bleeding behind the eye), rupture of the posterior capsule (lens capsule tear), suprachoroidal hemorrhage (bleeding in the choroid), and vision loss due to these or other complications.
Question 2 of 5
A client has mitral stenosis and is a prospective valve recipient. The nurse is instructing the client about health maintenance prior to surgery. Inability to follow which of the following regimens would pose the greatest health hazard to this client at this time?
Correct Answer: A
Rationale: Medication therapy (e.g., anticoagulants, diuretics) is critical to manage symptoms and prevent complications like thromboembolism in mitral stenosis.
Question 3 of 5
A nurse is assessing a group of clients. Which clients are at risk for vasospastic disorder (Raynaud's phenomenon)?
Correct Answer: A
Rationale: Young women are at highest risk for Raynaud's phenomenon, particularly primary Raynaud's, due to hormonal influences and higher prevalence of autoimmune conditions. While men and older individuals can develop it, young women are most commonly affected.
Question 4 of 5
A client tells the nurse on admission that she is uneasy about having to leave her children with a relative while being in the hospital for surgery. The most appropriate action by the nurse is to do which of the following?
Correct Answer: D
Rationale: The health history is conducted to ascertain a client's state of wellness or illness. A personal dialogue between a client and a nurse is conducted to obtain information.
To achieve a relationship of mutual trust and respect, the nurse must have the ability to communicate a sincere interest in the client. The therapeutic communication must be adapted to the responses, problems, and needs of the client. Reassurance and the remaining options do not demonstrate that the nurse is genuinely interested in the client's needs. (CN: Psychosocial adaptation; CL: Synthesize)
Question 5 of 5
A client with acute chest pain is receiving I.V. morphine sulfate. Which of the following results are intended effects of morphine in this client? Select all that apply.
Correct Answer: A,D,E
Rationale: Morphine reduces pain, which lowers myocardial oxygen demand (
A), decreases blood pressure and heart rate through vasodilation and reduced sympathetic response (
D), and alleviates anxiety and fear (E). It does not prevent ventricular remodeling or directly reduce respiratory rate in this context.