NCLEX-RN
NCLEX RN High-Yield Questions Questions
Extract:
Question 1 of 5
A client prescribed albuterol sulfate by inhalation cannot cough up secretions. The nurse should teach the client which action to best help clear the bronchial secretions?
Correct Answer: D
Rationale: The client should take in increased fluids (2000 to 3000 mL/day unless contraindicated) to make secretions less viscous. This may help the client expectorate secretions. This is standard advice given to clients receiving any of the adrenergic bronchodilators, such as albuterol, unless the client has another health problem that could be worsened by increased fluid intake. Additional exercise will not effectively clear bronchial secretions. A dehumidifier will dry secretions. The client would not be advised to take additional medication.
Question 2 of 5
Your client had a ruptured appendix and peritonitis. What type of healing would be most likely for this client?
Correct Answer: A
Rationale: A ruptured appendix with peritonitis heals by secondary intention, as the wound is left open to heal from the base up due to infection.
Question 3 of 5
A client with a history of peptic ulcer disease is prescribed ranitidine (Zantac). The nurse should instruct the client to:
Correct Answer: A
Rationale: Ranitidine is most effective at bedtime to reduce nighttime acid production.
Question 4 of 5
A family may request to have a client of Vietnamese descent transferred to die at home because it is traditionally believed that:
Correct Answer: C
Rationale: In Vietnamese culture, dying at home is often preferred, as it is believed to provide more comfort and spiritual peace for the patient and family.
Question 5 of 5
The nurse is caring for a client with a tracheostomy. Which action is essential to maintain airway patency?
Correct Answer: A
Rationale: Suctioning as needed removes secretions, maintaining tracheostomy patency and preventing airway obstruction.