NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Question 1 of 5
A client states, 'I don't want any more tests. Who cares what kind of leukemia I have? I just want to be treated now.' Which is the nurse's best response?
Correct Answer: B
Rationale: The nurse should explain that specific tests help tailor treatment to the type of leukemia, improving effectiveness. This addresses the client's desire for treatment while emphasizing the importance of diagnostic clarity. The other responses are empathetic but do not provide a rationale for testing.
Question 2 of 5
What is the nurse's best action for a client with a suspected stroke and aphasia?
Correct Answer: B
Rationale: Using simple phrases supports communication in stroke patients with aphasia.
Question 3 of 5
A client with multiple myeloma is admitted with a serum calcium level of 13.2 mg/dL. Which of the following nursing interventions is the priority?
Correct Answer: C
Rationale: Hypercalcemia (serum calcium >10.5 mg/dL) in multiple myeloma requires urgent I.V. normal saline to promote calcium excretion and prevent renal damage, making it the priority intervention.
Question 4 of 5
A 62-year-old male is dying from metastatic lung cancer, and all treatments have been discontinued. The client's breathing pattern is labored, with gurgling. The client's wife asks the nurse, 'Can't you do something to help with his breathing?' Which of the following is the nurse's best response in this situation?
Correct Answer: C
Rationale: Repositioning, elevating the head of the bed, and using a cool compress can alleviate labored breathing and gurgling (death rattle) in a dying client, providing comfort without invasive measures.
Question 5 of 5
When using a Doppler instrument to assess peripheral pulses, the correct placement of the transducer is important because it is difficult to differentiate between:
Correct Answer: B
Rationale: Doppler ultrasound can detect both arterial (pulsatile) and venous (continuous) blood flow, but incorrect transducer placement may confuse these signals. Differentiating arterial from venous flow is critical in PVD assessment to confirm arterial patency. Capillary or arteriole flow is less relevant in this context.