NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
Which of the following is contraindicated for a client with seizure precautions?
Correct Answer: C
Rationale: Using a glass thermometer is contraindicated due to the risk of breakage and injury during a seizure. Personal hygiene, wearing own clothing, and being out of bed are safe and promote independence.
Question 2 of 5
The nurse is developing a plan of care for a client with Crohn's disease who is receiving total parenteral nutrition (TPN). Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B,C,D,E
Rationale: For a client on TPN, daily weight monitoring (
B), daily dressing changes (
C), hourly infusion rate checks (
D), and securing tubing connections (E) are critical to prevent complications like infection or fluid imbalance. Vital signs once a shift (
A) is insufficient; more frequent monitoring is needed. CN: Pharmacological and parenteral therapies; CL: Create
Question 3 of 5
The nurse is assessing a client with increasing intracranial pressure (ICP). The nurse should notify the health care provider about which of the following changes in the client's condition?
Correct Answer: A,B,C,D
Rationale: All listed changes are critical signs of increasing ICP. Widening pulse pressure (Cushing's triad), bradycardia, dilated fixed pupils, and decreased LOC indicate neurological deterioration requiring immediate notification of the health care provider for intervention.
Question 4 of 5
Several clients have come to the emergency department after a possible bioterrorist act of arsenic overexposure. The nurse should assess these clients for which signs or symptoms immediately following the poisoning? Select all that apply.
Correct Answer: A,B,C
Rationale: Arsenic poisoning typically presents with acute gastrointestinal symptoms such as violent vomiting, severe diarrhea, and abdominal pain due to its toxic effects on the digestive system. Sensory neuropathy and persistent cough are less common immediate symptoms.
Question 5 of 5
The client with a fractured femur is upset and agitated about her injury and its treatment. She says, 'How can I stay like this for weeks? I can't even move!' Which of the following is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: Ineffective coping reflects the client's emotional distress and agitation due to immobility.