NCLEX-RN
NCLEX RN Medical Surgical Practice Questions Questions
Extract:
Question 1 of 5
Which pressure point area(s) should the nurse monitor for an unconscious client positioned on the left side?
Correct Answer: B,C,D,G
Rationale: On the left side, pressure points include the ear (
B), greater trochanter (
C), heels (
D), and shoulder (G). Ankles, occiput, and sacrum are less affected in this position.
Question 2 of 5
Which outcome is realistic for a client with a chronic neurological condition?
Correct Answer: B
Rationale: Maintaining functional ability is a realistic goal for managing chronic neurological conditions.
Question 3 of 5
What is the nurse's priority for a client with Guillain-Barré syndrome?
Correct Answer: A
Rationale: Monitoring respiratory function is the priority due to potential respiratory muscle weakness in Guillain-Barré syndrome.
Question 4 of 5
A nurse is providing education in a community setting about general measures to avoid excessive sun exposure. Which of the following recommendations is appropriate?
Correct Answer: D
Rationale: Applying sunscreen with SPF 15 or higher before sun exposure is a key measure to prevent UV damage. Sunscreen should be applied before water exposure, peak hours are 10 a.m. to 4 p.m., and tightly woven clothing is better for protection.
Question 5 of 5
A client with pancreatic cancer is receiving morphine via a subcutaneous pump. The client is developing drug tolerance. The nurse understands that the client is:
Correct Answer: C
Rationale: Drug tolerance means the client requires an increased dose to achieve the same pain relief, as the body has adapted to the current dose of morphine.