NCLEX-RN
NCLEX RN Medical Surgical Questions Questions
Extract:
Question 1 of 5
Which pediatric surgery client should not play with a balloon?
Correct Answer: B
Rationale: A child post-tonsillectomy should avoid balloons, as blowing or playing with them can increase intraoral pressure, risking bleeding or disruption of the surgical site.
Question 2 of 5
The nurse is assessing a client with hepatitis and notices that the AST and ALT levels have increased. Which of the following statements by the client requires further instruction by the nurse?
Correct Answer: D
Rationale: Acetaminophen (
D) is hepatotoxic and should be avoided in hepatitis due to increased liver enzyme levels. Rest (
A), a low-fat, high-carbohydrate diet (
B), and dry toast for nausea (
C) are appropriate.
Question 3 of 5
A client with an ileal conduit reports a bulging stoma. The nurse suspects:
Correct Answer: B
Rationale: A bulging stoma suggests a parastomal hernia, a complication requiring evaluation.
Question 4 of 5
The nurse is assessing clients at a health fair. Which client is at greatest risk for coronary artery disease?
Correct Answer: D
Rationale: Obesity and elevated LDL (188) are significant risk factors for coronary artery disease. The other clients have lower-risk profiles due to younger age, smoking cessation, or controlled lipids.
Question 5 of 5
The nurse should instruct the client with an ileostomy to report which of the following signs and symptoms immediately?
Correct Answer: C
Rationale: Absence of drainage from an ileostomy for 6 or more hours may indicate a blockage, requiring immediate reporting. Liquid stool and undigested food are normal, and a slightly elevated temperature is less urgent unless persistent. CN: Physiological adaptation; CL: Synthesize