NCLEX-RN
NCLEX RN Questions Medical Surgical Nursing Questions
Extract:
Question 1 of 5
Which position is best for a client with a hemorrhagic stroke?
Correct Answer: B
Rationale: Head elevation at 30 degrees reduces intracranial pressure while maintaining cerebral perfusion in hemorrhagic stroke.
Question 2 of 5
Which of the following indicates a potential complication of diabetes mellitus?
Correct Answer: B
Rationale: Hypertension (160/100 mm Hg) is a common complication of diabetes, contributing to cardiovascular and kidney disease.
Question 3 of 5
A client who was in a motor vehicle accident has a fractured mandible. Surgery has been performed to immobilize the injury by wiring the jaw. In the immediate postoperative phase, the nurse should:
Correct Answer: B
Rationale: Maintaining a patent airway is the priority in the immediate postoperative phase for a client with a wired jaw, as swelling or secretions could obstruct the airway. While the other interventions are important, airway management is the most critical.
Question 4 of 5
For which of the following preoperative clients should the nurse assess the glucose level? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Clients at risk for hyperglycemia include those with diabetes (
A), high stress response (B, due to cortisol release), recent corticosteroid use (C, which raises glucose), and those receiving dextrose-containing IV fluids with a family history of diabetes (
D). A high carbohydrate diet alone (E) is less likely to warrant immediate glucose monitoring.
Question 5 of 5
Which of the following is a priority goal for the client with chronic obstructive pulmonary disease (COPD)?
Correct Answer: A
Rationale: Maintaining functional ability is a priority in COPD to preserve quality of life and independence. Chest pain is not a primary issue. Increasing CO2 is harmful. Treating infections is important but not the top goal.