NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A 56-year-old female is currently receiving radiation therapy to the chest wall for recurrent breast cancer. She has pain while swallowing and burning and tightness in her chest. The nurse should further assess the client for indications of:
Correct Answer: D
Rationale: Pain while swallowing and chest burning/tightness suggest esophagitis, a common side effect of chest wall radiation due to irritation of the esophageal mucosa.
Question 2 of 5
A nurse is assessing a surgical client's blood pressure 8 hours after surgery. The client's blood pressure before surgery was 120/80 mm Hg and on admission to the postsurgical nursing unit, it was 110/80 mm Hg. The client's blood pressure is now 90/70 mm Hg. What should the nurse do first?
Correct Answer: B
Rationale: A drop to 90/70 mm Hg suggests hypovolemia, likely from bleeding. Checking the dressing for bleeding is the first step to identify the cause before further interventions.
Question 3 of 5
The client is scheduled to have an upper gastrointestinal tract series of x-rays. Following the x-rays, the nurse should instruct the client to:
Correct Answer: A
Rationale: A laxative is typically recommended after an upper GI series to help eliminate the barium used in the procedure and prevent constipation.
Question 4 of 5
Which of the following family members exposed to tuberculosis would be at highest risk for contracting the disease?
Correct Answer: D
Rationale: The elderly (76-year-old grandmother) are at highest risk due to weakened immune systems, increasing susceptibility to tuberculosis infection. Children and younger adults are less vulnerable unless immunocompromised.
Question 5 of 5
A client with acute renal failure has metabolic acidosis. The nurse expects:
Correct Answer: A
Rationale: Sodium bicarbonate corrects metabolic acidosis in acute renal failure.