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Med Surg RN NCLEX Questions Questions

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Question 1 of 5

Which statement by a client with acute renal failure indicates understanding of dietary restrictions?

Correct Answer: A

Rationale: Oranges are high in potassium, which should be avoided in acute renal failure.

Question 2 of 5

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with osteoarthritis?

Correct Answer: D

Rationale: Local joint pain is a primary symptom of osteoarthritis, resulting from cartilage degeneration.

Question 3 of 5

The nurse observes the client instill eyedrops. The client says, 'I just try to hit the middle of my eyeball so the drops don't run out of my eye.' The nurse explains to the client that this method may cause:

Correct Answer: A

Rationale: Instilling eyedrops directly onto the cornea (middle of the eyeball) can cause corneal abrasion due to the dropper tip or improper technique. Drops should be placed in the lower conjunctival sac.

Question 4 of 5

The nurse teaches a client with chronic obstructive pulmonary disease for signs and symptoms of right-sided heart failure. Which of the following signs and symptoms should be included in the teaching plan?

Correct Answer: C

Rationale: Right-sided heart failure (cor pulmonale) in COPD causes peripheral edema due to increased venous pressure. Clubbing reflects chronic hypoxia, not heart failure. Hypertension and increased appetite are unrelated.

Question 5 of 5

Which assessment is critical for a client with a recent stroke?

Correct Answer: A

Rationale: Assessing swallowing ability is critical to prevent aspiration in stroke patients.

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Several clients come to the emergency department with suspected contamination by the Ebola virus. What should the nurse do? Select all that apply.
Prevention of skin breakdown and maintenance of skin integrity among older clients is important because they are at greater risk secondary to:
A client with Cushing's disease tells the nurse that the physician said the morning serum cortisol level was within normal limits. The client asks, 'How can that be? I'm not imagining all these symptoms!' The nurse's response will be based on which of the following?
In planning care for the client who has had a stroke, the nurse should obtain a history of the client's functional status before the stroke because?

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