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NCLEX RN Medical Surgical Questions and Answers Questions

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Question 1 of 5

Which symptom suggests bladder cancer recurrence?

Correct Answer: C

Rationale: Hematuria is a common sign of bladder cancer recurrence.

Question 2 of 5

Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply.

Correct Answer: A,B,D

Rationale: Rheumatoid arthritis is more common in adults aged 20-50, has a genetic association with HLA-DR4, and may be linked to Epstein-Barr virus. Males are less likely than females to develop RA, and osteoarthritis is a distinct condition.

Question 3 of 5

The nurse is caring for a client with Crohn's disease who reports frequent nighttime diarrhea. Which intervention should the nurse prioritize?

Correct Answer: D

Rationale: Providing a bedside commode is the priority to ensure safety and comfort for a client with frequent nighttime diarrhea due to Crohn's disease. Antidiarrheals may be used but require careful monitoring, a high-fiber diet may worsen symptoms, and meal timing is less impactful. CN: Physiological adaptation; CL: Synthesize

Question 4 of 5

A client with uric acid stones is prescribed a low-purine diet. Which food is allowed?

Correct Answer: C

Rationale: Apples are low in purines, suitable for a uric acid stone diet.

Question 5 of 5

The nurse should assess a client with thrombocytopenia who has developed a hemorrhage for which of the following?

Correct Answer: A

Rationale: Hemorrhage in a client with thrombocytopenia can lead to hypovolemia, causing tachycardia as the heart compensates for decreased blood volume. Bradycardia is not typical, and while decreased urine output and hypotension may occur later, tachycardia is an earlier and more immediate sign.

Similar Questions

A client has undergone a cystectomy and an ileal conduit diversion. What should the nurse incorporate into the discharge instructions? Select all that apply.
A client is to have a Schilling test. The nurse should:
Because a client's renal stone was found to be composed of uric acid, a low-purine, alkaline-ash diet was ordered. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications?
When developing a teaching plan for a client who is prescribed acetaminophen (Tylenol) for muscle pain, which information should the nurse expect to include? Select all that apply.
The client complains of aching, weakness, and a cramping sensation in both of his lower extremities while walking. The nurse knows that exercise enhances blood circulation and utilization of oxygen by the tissues. To promote health and maintain the client's level of activity, the nurse should suggest that the client try:

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