NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
Which of the following items of documentation is not required for the nurse to have on the chart before the client is transported to the operating suite?
Correct Answer: D
Rationale: The anesthesia note is completed intraoperatively or post-procedure by the anesthesiologist. The other documents are required preoperatively to ensure informed consent and medical readiness.
Question 2 of 5
What is a priority nursing assessment in the first 24 hours after admission of the client with a thrombotic stroke?
Correct Answer: B
Rationale: Pupil size and pupillary response are priority assessments to detect neurological deterioration, such as increased ICP or stroke extension. Cholesterol, bowel sounds, and echocardiograms are not immediate priorities.
Question 3 of 5
The nurse notes a client's preoperative hemoglobin is 9.8 g/dL. What is the priority nursing action?
Correct Answer: B
Rationale: A hemoglobin of 9.8 g/dL indicates anemia, which increases surgical risks. Notifying the surgeon ensures evaluation and possible intervention before proceeding.
Question 4 of 5
Complications associated with a tracheostomy tube include:
Correct Answer: C
Rationale: Pneumothorax is a potential complication of tracheostomy tube placement due to possible injury to the lung or pleural space during insertion or maintenance.
Question 5 of 5
Which of the following should be readily available at the bedside of a client with a chest tube in place?
Correct Answer: C
Rationale: A bottle of sterile water is needed to restore the water seal if the chamber is compromised. Tracheostomy trays, extra chest tubes, and spirometers are not immediately necessary.