NCLEX-RN
Medical Surgical Nursing NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following is normal for a client during the icteric phase of viral hepatitis?
Correct Answer: B
Rationale: The icteric phase involves jaundice, causing yellowed sclera (
B) due to bilirubin buildup. Tarry stools (
A) indicate bleeding, not typical. Shortness of breath (
C) and frothy urine (
D) are unrelated.
Question 2 of 5
What diet should be implemented for a client who is in the early stages of cirrhosis?
Correct Answer: A
Rationale: A high-calorie, high-carbohydrate diet (
A) supports energy needs in early cirrhosis. High-protein (
B) may worsen encephalopathy. Low-fat, low-protein (
C) is too restrictive. Low-sodium (
D) is relevant for ascites, not early cirrhosis.
Question 3 of 5
The nurse is planning a staff development program related to infection control. Which of the following precautions should the nurse indicate as essential when caring for clients with hepatitis A?
Correct Answer: D
Rationale: Hepatitis A is fecal-oral transmitted, so gloves (
D) are essential during direct care to prevent contact with contaminated materials. Gowns (
A), masks (
B), and private rooms (
C) are not required.
Question 4 of 5
The nurse is assessing a client with chronic hepatitis B who is receiving Lamivudine (Epivir). What information is most important to communicate to the physician?
Correct Answer: A
Rationale: A 3 kg weight loss in 2 days (
A) is significant and may indicate worsening liver function or dehydration, requiring urgent attention. Nausea (
B), low-grade fever (
C), and fatigue (
D) are common but less critical symptoms.
Question 5 of 5
The nurse is preparing a client for a paracentesis. The nurse should:
Correct Answer: A
Rationale: Voiding before paracentesis (
A) prevents bladder injury during the procedure. Side-lying (
B) is incorrect; upright is preferred. IV sedatives (
C) are not routine, and NPO status (
D) is unnecessary.