NCLEX Based MCQs #4
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Q.31 The nurse cares for a client who underwent abdominal surgery 2 days ago. Which
symptom suggests the client has developed complications?
A. Muscle soreness.
B. Incisional pain.
C. Abdominal distension.
D. Serous wound drainage.
Answer: C
Abdominal distension after abdominal surgery could indicate paralytic ileus.Muscle soreness,
incisional pain, and serous wound drainage are expected findings postoperatively.
Q.32 The nurse cares for a client with end-stage liver disease due to cirrhosis secondary to
alcohol abuse. The nurse monitors the client for which potentially life-threatening complication of
cirrhosis?
, A. Ascites.
B. Hepatomegaly.
C. Ruptured esophageal varices.
D. Epistaxis.
Answer: C
Esophageal varices are a result of con-gested portal circulation,which cause fragile collat-eral
vessels to form. Ruptured esophageal varices are a serious complication of end-stage liver
disease (ESLD). The client is at risk for hemorrhage that can cause hypotension and internal
bleeding.
Although ascites, hepatomegaly, and epistaxis are symptoms of ESLD,they are not life
threatening.
Q.33 The nurse instructs the client how to perform foot pumps (extension and flexion of the foot
at the ankle).The nurse knows that contracting the leg muscles helps to prevent which
postoperative complication?
A. Pneumonia.
B. Deep vein thrombosis.
C. Dehydration.
D. Muscle atrophy.
Answer :- B
Postoperative clients are often immobile and encouraging foot pumps can decrease venous
stasis and subsequent deep vein thrombosis (DVT). An incentive spirometer or coughing and
deep breathing exercises prevent pneumonia. Foot pumps do not prevent dehy-dration. More
vigorous exercise is required to prevent muscle atrophy.
Q.34 Which chronic complications are associated with diabetes mellitus?
A.Angina and dyspnea on exertion.
B. Leg ulcers and pulmonary infarcts.
C. Retinopathy and neuropathy.
D. Fatigue, nausea, and cardiac dysrhythmias.
Answer: C
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Retinopathy,neuropathy,and coro-nary artery disease are complications of diabetes.
Angina and dyspnea on exertion are complications of aortic valve stenosis. Leg ulcers and
pulmonary infarcts are complications of sickle cell anemia. Fatigue, nausea, and cardiac
dysrhythmias are complications of hyperparathyroidism.
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Subscribe Now )
➡ रोजाना टे स्ट दे ने और सभी प्रकार की इंफॉर्मेशन जल्दी से जल्दी प्राप्त करने के लिए नीचे दिए गए ग्रप
ु और
चैनल दोनों को अभी ज्वाइन करें 👇👇👇
⭕ Group :- http://t.me/Nsgchallangers
⭕ Channel :- http://t.me/Nursingchallangers
Q.31 The nurse cares for a client who underwent abdominal surgery 2 days ago. Which
symptom suggests the client has developed complications?
A. Muscle soreness.
B. Incisional pain.
C. Abdominal distension.
D. Serous wound drainage.
Answer: C
Abdominal distension after abdominal surgery could indicate paralytic ileus.Muscle soreness,
incisional pain, and serous wound drainage are expected findings postoperatively.
Q.32 The nurse cares for a client with end-stage liver disease due to cirrhosis secondary to
alcohol abuse. The nurse monitors the client for which potentially life-threatening complication of
cirrhosis?
, A. Ascites.
B. Hepatomegaly.
C. Ruptured esophageal varices.
D. Epistaxis.
Answer: C
Esophageal varices are a result of con-gested portal circulation,which cause fragile collat-eral
vessels to form. Ruptured esophageal varices are a serious complication of end-stage liver
disease (ESLD). The client is at risk for hemorrhage that can cause hypotension and internal
bleeding.
Although ascites, hepatomegaly, and epistaxis are symptoms of ESLD,they are not life
threatening.
Q.33 The nurse instructs the client how to perform foot pumps (extension and flexion of the foot
at the ankle).The nurse knows that contracting the leg muscles helps to prevent which
postoperative complication?
A. Pneumonia.
B. Deep vein thrombosis.
C. Dehydration.
D. Muscle atrophy.
Answer :- B
Postoperative clients are often immobile and encouraging foot pumps can decrease venous
stasis and subsequent deep vein thrombosis (DVT). An incentive spirometer or coughing and
deep breathing exercises prevent pneumonia. Foot pumps do not prevent dehy-dration. More
vigorous exercise is required to prevent muscle atrophy.
Q.34 Which chronic complications are associated with diabetes mellitus?
A.Angina and dyspnea on exertion.
B. Leg ulcers and pulmonary infarcts.
C. Retinopathy and neuropathy.
D. Fatigue, nausea, and cardiac dysrhythmias.
Answer: C
🏆 AIIMS NORCET High Yields Topics :-
https://www.youtube.com/playlist?list=PLzC-84UMNJ4wq6snWRdn9noA9yKsabAYN
( 🖕🖕 OBG , MSN & FON Sub. )
🏆 All CHO papers :-
https://www.youtube.com/playlist?list=PLzC-84UMNJ4yS9VaOVPm0c6RQg8oxe6p0
Retinopathy,neuropathy,and coro-nary artery disease are complications of diabetes.
Angina and dyspnea on exertion are complications of aortic valve stenosis. Leg ulcers and
pulmonary infarcts are complications of sickle cell anemia. Fatigue, nausea, and cardiac
dysrhythmias are complications of hyperparathyroidism.
