NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
Which of the following rehabilitative measures should the nurse teach the client who has undergone chest surgery to prevent shoulder ankylosis?
Correct Answer: C
Rationale: Raising the arm overhead prevents shoulder ankylosis (stiffness) by maintaining range of motion post-chest surgery. Other movements are less specific to shoulder mobility.
Question 2 of 5
Which of the following statements would indicate to the nurse that the client who has undergone repair of her nasal septum has understood the discharge instructions?
Correct Answer: B
Rationale: Taking stool softeners and modifying the diet to prevent constipation avoids straining (Valsalva's maneuver), which could cause bleeding or complications post-nasal surgery.
Question 3 of 5
The nurse is teaching a client about managing osteoarthritis pain. Which non-pharmacologic intervention should be included?
Correct Answer: D
Rationale: Gentle range-of-motion exercises maintain joint mobility and reduce stiffness in osteoarthritis.
Question 4 of 5
A client who has a history of an inguinal hernia is admitted to the hospital with sudden, severe abdominal pain, vomiting, and abdominal distention. The nurse should assess the client further for which of the following complications?
Correct Answer: C
Rationale: Sudden, severe abdominal pain, vomiting, and distention in a client with an inguinal hernia suggest a strangulated hernia, where the herniated tissue loses blood supply, requiring urgent assessment. Peritonitis, incarceration, or perforation are less likely without additional signs. CN: Physiological adaptation; CL: Analyze
Question 5 of 5
Which of the following findings is the best indication that fluid replacement for the client in hypovolemic shock is adequate?
Correct Answer: A
Rationale: Adequate fluid replacement in hypovolemic shock is best indicated by a urine output greater than 30 mL/hour, reflecting restored renal perfusion. Blood pressure and respiratory rate improvements are supportive but less specific.