NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Question 1 of 5
If the client who was admitted for myocardial infarction (MI) develops cardiogenic shock, which characteristic sign should the nurse expect to observe?
Correct Answer: A
Rationale: Cardiogenic shock causes decreased cardiac output, leading to reduced renal perfusion and oliguria (low urine output). Bradycardia, elevated BP, and fever are not typical signs.
Question 2 of 5
Contraindications to the administration of tissue plasminogen activator (t-PA) include which of the following?
Correct Answer: B
Rationale: A history of cerebral hemorrhage is an absolute contraindication to t-PA due to the risk of bleeding. Age, heart failure, and smoking are not contraindications.
Question 3 of 5
A client with angina has been taking nifedipine. The nurse should teach the client to:
Correct Answer: C
Rationale: Nifedipine, a calcium channel blocker, can cause gingival hyperplasia. Daily gum inspection helps detect this side effect early.
Question 4 of 5
A client is scheduled for a cardiac catheterization. The nurse should do which of the following preprocedure tasks? Select all that apply.
Correct Answer: B,C,D
Rationale: Checking iodine sensitivity (
B), verifying consent (
C), and withholding food/fluids (
D) are standard pre-catheterization tasks to ensure safety and preparedness.
Question 5 of 5
If the client realizes the importance of quitting smoking, and the nurse develops a plan to help the client achieve this goal. Which of the following nursing interventions should be the initial step in this plan?
Correct Answer: C
Rationale: Establishing the daily smoking pattern identifies triggers and habits, forming the basis for a tailored cessation plan.