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NCLEX RN Review Questions for Physiological Adaptation Answers and Rationale
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1. C. Nitrates act primarily to relax coronary smooth muscle and produce vasodilation. They can cause hypotension, which makes the client dizzy and weak. Nitrates are taken at the first sign of chest pain and before activities that might induce chest pain. Sublingual nitroglycerin is taken every 5 minutes for three doses. If the pain persists, the client should... Continue Reading
NCLEX RN Review Questions for Physiological Adaptation
1. Nurse Fiona is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize?
a. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses
b. Store the drug in a cool, well-lit place
c. Lie down or sit in a chair for 5 to 10 minutes after taking the... Continue Reading
NCLEX Review Questions – Genitourinary System Part 2 Answers and Rationale
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1. Answer B. Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter. After TURP, urine normally appears red to pink, and normal saline irrigant usually is infused at a rate of 40 to 60 drops/minute or according to facility protocol. The amount of returned fluid (1,200 ml) should correspond to the... Continue Reading
NCLEX Review Questions – Genitourinary System Part 2
1. After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded?
a. The urine in the drainage bag appears red to pink.
b. The client reports bladder spasms and the urge to... Continue Reading
NCLEX Review Questions – Genitourinary System Answers and Rationale
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1. Answer B. When the urethra is ruptured, a hematoma or collection of blood separates the two sections of urethra. This may feel like a boggy mass on rectal examination. Because of the rupture and hematoma, the prostate becomes high riding. A palpable prostate gland usually indicates a nonurethral injury. Absent sphincter tone would refer to a... Continue Reading
NCLEX Review Questions – Genitourinary System
1. The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination?
a. A low-riding prostate
b. The presence of a boggy mass
c. Absent sphincter tone
d. A positive Hemoccult
2. When a female client with an indwelling urinary (Foley) catheter insists on walking to the... Continue Reading
Medical Surgical Nursing Practice Test
Here is 50-item practice test on Medical Surgical Nursing. Answers will be posted soon. Keep checking http://nclexreviewers.com for updates or Subscribe to us for free to receive updates straight on your own email.
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