NCLEX-RN
NCLEX RN Medical Surgical Questions and Answers Questions
Extract:
Question 1 of 5
Which symptom suggests worsening neurological status in a client with a head injury?
Correct Answer: B
Rationale: Decreased pulse rate (bradycardia) may indicate increased intracranial pressure, a sign of worsening neurological status.
Question 2 of 5
Experimental and epidemiologic evidence suggests that a high-fat diet increases the risk of several cancers. Which of the following cancers is linked to a high-fat diet?
Correct Answer: C
Rationale: A high-fat diet is strongly associated with an increased risk of colon cancer, as it can promote inflammation and alter gut microbiota, contributing to carcinogenesis.
Question 3 of 5
The nurse is assessing a client with chronic pain. Which of the following is an expected response?
Correct Answer: B
Rationale: Chronic pain often results in normal vital signs (due to adaptation), physical inactivity (to avoid pain), and unusual physical sensitivity, as patients may guard or protect painful areas.
Question 4 of 5
The nurse is teaching a 17-year-old client and the client's family about what to expect with high-dose chemotherapy. Which of the following side effects should be included in the teaching plan?
Correct Answer: A
Rationale: Fever is a common side effect of high-dose chemotherapy due to neutropenia and increased infection risk, and should be included in the teaching plan.
Question 5 of 5
Which of the following nursing interventions would be most helpful in making the respiratory effort of a client with metastatic lung cancer more efficient?
Correct Answer: C
Rationale: Pursed-lip breathing helps prolong exhalation, reducing air trapping and improving respiratory efficiency in clients with metastatic lung cancer.