NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Question 1 of 5
The client has midcalf pain when walking a block or more. The client states that the discomfort is relieved with rest. The pain is expected when arterial occlusion reaches which of the following percentages?
Correct Answer: C
Rationale: Claudication typically occurs when arterial occlusion reaches approximately 50%, significantly reducing blood flow to muscles during activity. This causes ischemia and pain, which is relieved by rest when oxygen demand decreases. Complete (100%) occlusion would cause rest pain or tissue necrosis, not just claudication.
Question 2 of 5
The nurse is preparing a staff education program about medication reconciliation. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,C,E
Rationale: Medication reconciliation includes discontinued medications, new orders, and OTC medications to ensure a complete and accurate list; it should occur at admission, transfer, and discharge, and PRN medications should not be excluded.
Question 3 of 5
The nurse is planning care for an 80-year-old client with a pressure ulcer (see figure). The nurse should do which of the following? Select all that apply
Correct Answer: C,D,E
Rationale: The client has a Stage II pressure ulcer. The nurse should take measures to relieve the pressure, treat the local infection, and protect the wound. The nurse should keep the ulcer covered with a protective dressing.. The client should turn every 2 hours and use an alternating-pressure mattress to relieve pressure on the buttocks. The head of the bed should be elevated no more than 30 degrees. All wounds have bacteria and obtaining frequent cultures (unless ordered otherwise) are not necessary
Question 4 of 5
The nurse administers fat emulsion solution during TPN as ordered based on the understanding that this type of solution:
Correct Answer: A
Rationale: Fat emulsion solutions in TPN provide essential fatty acids to prevent deficiency. They do not primarily provide carbohydrates, promote glucose metabolism, or maintain body weight. CN: Pharmacological and parenteral therapies; CL: Apply
Question 5 of 5
Which of the following indicates that the client with chronic obstructive pulmonary disease (COPD) who has been discharged to home understands his care plan?
Correct Answer: D
Rationale: Calling the physician for increased dyspnea on exertion shows understanding of when to seek help, a key part of COPD management. Pursed-lip breathing is helpful but less specific. Pain is not a primary COPD issue. High-flow oxygen (5 L/min) may suppress respiratory drive.