NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Question 1 of 5
The nurse is assessing the home environment of an elderly client who is using crutches during the postoperative recovery phase after hip pinning. Which of the following would pose the greatest hazard to the client as a risk for falling at home?
Correct Answer: B
Rationale: Scatter rugs are a significant fall risk due to tripping hazards.
Question 2 of 5
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.
Question 3 of 5
A client is to receive peritoneal dialysis. To prepare for the procedure, the nurse should?
Correct Answer: D
Rationale: Warming the dialysis solution prevents discomfort and promotes effective dialysis by relaxing abdominal muscles.
Question 4 of 5
How often should the postoperative client's temperature be assessed during the first 24 hours after surgery?
Correct Answer: B
Rationale: Assessing temperature every 4 hours in the first 24 hours detects fever early, indicating potential infection or other complications.
Question 5 of 5
A nurse is admitting a client who has been admitted with a diagnosis of upper GI bleeding to the hospital. The nurse should assess the client for which of the following? Select all that apply.
Correct Answer: A,B,C,E,F
Rationale: Upper GI bleeding can lead to hypovolemia, causing dry, flushed skin, decreased urine output, tachycardia, rapid respirations, and thirst. Widening pulse pressure is not typically associated with hypovolemia.