NCLEX RN Med Surg Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Medical Surgical Nursing
Question 1 of 5.
A client had a mastectomy followed by chemotherapy 6 months ago. She reports that she is now 'unable to concentrate at her card game' and 'it seems harder and harder to finish her errands because of exhaustion.' Based on this information, the nurse should suggest that the client do which of the following?
A. Take frequent naps.
B. Limit activities.
C. Increase fluid intake.
D. Avoid contact with others.
Explanation: The client's symptoms of difficulty concentrating and exhaustion suggest fatigue, which is a common long-term side effect of chemotherapy. Taking frequent naps can help manage fatigue by allowing the client to rest and conserve energy, improving her ability to perform daily activities. Limiting activities may be overly restrictive and not address the root issue, increasing fluid intake is not directly related to fatigue unless dehydration is present, and avoiding contact with others is unnecessary unless there is an infection risk.
Question 2 of 5.
A 65-year-old client is admitted to the emergency department with a fractured hip. The client has chest pain and shortness of breath. The health care provider orders nitroglycerin tablets. Which should the nurse instruct the client to do?
A. Put the tablet under the tongue until it is dissolved.
B. Swallow the tablet with 120 mL of water.
C. Chew the tablet until it is dissolved.
D. Place the tablet between his cheek and gums.
Explanation: Sublingual nitroglycerin is administered under the tongue for rapid absorption to relieve chest pain. Other methods (swallowing, chewing, or buccal placement) are incorrect for this medication.
Question 3 of 5.
After a myocardial infarction, the hospitalized client is taught to move the legs while resting in bed. This type of exercise is recommended primarily to help:
A. Prepare the client for ambulation.
B. Promote urinary and intestinal elimination.
C. Prevent thrombophlebitis and blood clot formation.
D. Decrease the likelihood of pressure ulcer formation.
Explanation: Leg exercises prevent venous stasis, reducing the risk of thrombophlebitis and deep vein thrombosis, common complications post-MI due to immobility.
Question 4 of 5.
The client who experiences angina has been told to follow a low-cholesterol diet. Which of the following meals should the nurse tell the client would be best on her low-cholesterol diet?
A. Hamburger, salad, and milkshake.
B. Baked liver, green beans, and coffee.
C. Spaghetti with tomato sauce, salad, and coffee.
D. Fried chicken, green beans, and skim milk.
Explanation: Spaghetti with tomato sauce, salad, and coffee is low in cholesterol, unlike hamburger, liver, or fried chicken, which contain higher cholesterol or saturated fats.
Question 5 of 5.
Which of the following foods should the nurse teach a client with heart failure to limit when following a 2-g sodium diet?
A. Apples.
B. Tomato juice.
C. Whole wheat bread.
D. Beef tenderloin.
Explanation: Tomato juice is high in sodium, which should be limited on a 2-g sodium diet to prevent fluid retention in heart failure.
Related Questions