NCLEX-RN
Medical Surgical NCLEX RN Questions
Extract:
Question 1 of 5
Which statement by a client with a new ileal conduit indicates a need for further teaching?
Correct Answer: D
Rationale: Tight clothing can irritate the stoma and impair appliance function, indicating a misunderstanding of proper care.
Question 2 of 5
Which of the following should the nurse expect to assess as normal skin changes in an elderly client? Select all that apply.
Correct Answer: A,C,D
Rationale: Normal aging includes diminished hair, solar lentigo (age spots), and wrinkles. Dusky rubor suggests vascular issues, and yellow pigmentation may indicate jaundice, not normal aging.
Question 3 of 5
Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.
Question 4 of 5
Which of the following activities should the nurse include in the plan of care for a client with burn injuries to be carried out about one-half hour before the daily whirl pool bath and dressing change?
Correct Answer: C
Rationale: Administering an analgesic 30 minutes before a painful procedure like a whirlpool bath and dressing change ensures pain relief, improving patient comfort and cooperation. Soaking, removing, or slitting the dressing typically occurs during the procedure, not beforehand.
Question 5 of 5
The nurse is caring for a client who has had a gastroscopy. Which of the following signs and symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply.
Correct Answer: C,D
Rationale: Epigastric pain and hematemesis after a gastroscopy may indicate complications such as perforation or bleeding. A sore throat and drowsiness are expected post-procedure effects due to throat irritation and sedation.