NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
Which of the following signs and symptoms are common in male clients with prolactin-secreting tumors?
Correct Answer: B
Rationale: Prolactin-secreting tumors in males often cause erectile dysfunction and decreased libido due to suppression of testosterone.
Question 2 of 5
The client's wife asks the nurse whether the I.V. infusion is meeting her husband's nutritional needs because he has vomited several times. The nurse's response should be based on the knowledge that 1 L of 5% dextrose in normal saline solution delivers:
Correct Answer: A
Rationale: One liter of 5% dextrose provides 50 g of dextrose, yielding approximately 170 calories, insufficient for full nutritional needs.
Question 3 of 5
A client reports that she has gained weight and that her face and body are 'rounder,' while her legs and arms have become thinner. A tentative diagnosis of Cushing's disease is made. When examining this client, the nurse would expect to find:
Correct Answer: C
Rationale: Cushing's disease causes thin, fragile skin due to excess cortisol, leading to easy bruising.
Question 4 of 5
Because of steroid excess after a bilateral adrenalectomy, the nurse should assess the client for:
Correct Answer: B
Rationale: Excess steroids, even post-adrenalectomy, can cause delayed wound healing due to their catabolic effects.
Question 5 of 5
The nurse is assessing the urine of a client who has had an ileal conduit and notes that the urine is yellow with a moderate amount of mucus. Based on the data, the nurse should?
Correct Answer: D
Rationale: Yellow urine with moderate mucus is normal for an ileal conduit due to intestinal segment use. Encouraging high fluid intake prevents complications like calculi or infection.