NCLEX-RN
Free NCLEX RN Questions for Med Surg Questions
Extract:
Question 1 of 5
Which of the following should the nurse provide as part of the information to prepare the client for tonometry?
Correct Answer: B
Rationale:
Tonometry measures intraocular pressure and is typically painless with no adverse effects, requiring no pupil dilation or pain medication.
Question 2 of 5
Which intervention promotes comfort post-cystectomy?
Correct Answer: A
Rationale: Deep breathing prevents respiratory complications and promotes comfort.
Question 3 of 5
After surgery for head and neck cancer, a client has a permanent tracheostomy. The nurse should teach the client and family about the importance of:
Correct Answer: A,C,D
Rationale: Tracheostomy site care (
A), monitoring for skin breakdown (
C), and using humidifiers (
D) are critical to prevent infection, maintain skin integrity, and keep secretions manageable.
Question 4 of 5
A client who has had her jaws wired begins to vomit. What should be the nurse's first action?
Correct Answer: C
Rationale: Suctioning the airway is the first action to prevent aspiration in a client with wired jaws who is vomiting. Cutting the wires is a last resort, and the other options do not address the immediate risk of airway obstruction.
Question 5 of 5
The nurse receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?
Correct Answer: D
Rationale: Elevated myoglobin indicates myocardial damage, as it is released from injured cardiac muscle, supporting a diagnosis of MI.