NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A 45-year-old female client with breast cancer has completed chemotherapy and reports a decreased interest in sexual activity. The nurse should:
Correct Answer: A
Rationale: Encouraging open communication with her partner allows the client to address emotional and physical factors contributing to decreased sexual interest, fostering support and understanding.
Question 2 of 5
A client post-extracorporeal shock wave lithotripsy should report:
Correct Answer: B
Rationale: Severe flank pain may indicate a complication like hematoma or obstruction.
Question 3 of 5
The nurse measures the amount of bile drainage from a T-tube and records it by which one of the following method:
Correct Answer: B
Rationale: T-tube drainage is bile output and should be recorded separately on the output record (option
B) to accurately track fluid loss. Adding it to urine output (
A) or wound drainage (
C) is incorrect as it represents a distinct type of output. Subtracting it from intake (
D) is not a standard practice.
Question 4 of 5
A client with renal calculi is prescribed potassium citrate. The purpose is to:
Correct Answer: B
Rationale: Potassium citrate alkalinizes urine, preventing uric acid stone formation.
Question 5 of 5
The nurse assesses the client's stoma during the initial postoperative period. Which of the following observations should be reported immediately to the physician?
Correct Answer: B
Rationale: A dark red to purple stoma indicates inadequate blood supply, which is a medical emergency requiring immediate reporting to the physician. Slight edema is expected post-surgery, a small amount of blood oozing is normal, and lack of stool expulsion in the initial period may not be immediately concerning unless other symptoms are present. CN: Physiological adaptation; CL: Analyze