NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
Which of the following is most likely to cause the client to experience postoperative nausea and vomiting?
Correct Answer: C
Rationale: Abdominal hysterectomy involves manipulation of the gastrointestinal tract, increasing the risk of postoperative nausea and vomiting due to vagal stimulation and slowed gastric motility.
Question 2 of 5
The nurse is checking the laboratory results on a 52-year-old client with type 1 diabetes (see chart). What laboratory result indicates a problem that should be managed?
Correct Answer: A
Rationale: Elevated blood glucose in type 1 diabetes indicates poor glycemic control, requiring immediate management to prevent complications like ketoacidosis.
Question 3 of 5
The nurse is obtaining a blood sample for a PTT test ordered for a client who is taking heparin. It is 5 a.m. When drawing the blood, the nurse should do which of the following? Select all that apply.
Correct Answer: B,C,E
Rationale: Rationales:
B) Checking the armband ensures correct client identification, critical for safety.
C) Labeling the vial in front of the client prevents errors. E) Asking the client to state their name confirms identity.
A) Awakening the client is unnecessary if asleep, as the draw can be done gently.
D) Room number is unreliable for identification.
Question 4 of 5
The nurse is developing a discharge teaching plan for a client who underwent a repair of abdominal aortic aneurysm 4 days ago. The nurse reviews the client's chart for information about the client's history. Key findings are noted in the chart below. Based on the data and expected outcomes, which should the nurse emphasize in the teaching plan?
Correct Answer: D
Rationale: Post-AAA repair, tissue perfusion is critical to ensure graft patency and prevent ischemia in the lower extremities or organs. Teaching should emphasize signs of poor perfusion (e.g., pain, pallor, pulselessness) and follow-up care. Food, fluid, and skin integrity are less urgent.
Question 5 of 5
The nurse is preparing a community education program about preventing hepatitis B infection. Which of the following would be appropriate to incorporate into the teaching plan?
Correct Answer: D
Rationale: Condom use (
D) prevents hepatitis B transmission via sexual contact. Hepatitis B is not uncommon in college students (
A). Alcohol (
B) is unrelated to hepatitis B transmission. Hygiene (
C) is less effective than barrier protection.