NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following?
Correct Answer: B
Rationale: Hypothyroidism causes a slowed metabolism, leading to weight gain. Tachycardia, diarrhea, and nausea are more associated with hyperthyroidism.
Question 2 of 5
The nurse notes that the sterile, occlusive dressing on the central catheter insertion site of a client receiving total parenteral nutrition (TPN) is moist. The client is breathing easily with no abnormal breath sounds. The nurse should do the following in order of what priority from first to last?
Order the Items
Source Container
Correct Answer: C,B,A,D
Rationale: The priority is to notify the physician (
C) due to potential infection indicated by a moist dressing, followed by culturing drainage (
B) to identify the organism, changing the dressing (
A) to maintain sterility, and positioning a towel (
D), which is unrelated to the immediate issue. CN: Pharmacological and parenteral therapies; CL: Synthesize
Question 3 of 5
Which of the following nursing interventions is most important in preventing postoperative complications?
Correct Answer: D
Rationale: Early ambulation prevents multiple complications, including deep vein thrombosis, pneumonia, and atelectasis, by promoting circulation and lung expansion.
Question 4 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 5 of 5
A client with a hip fracture is using a walker. Which observation indicates incorrect use of the walker?
Correct Answer: A
Rationale: Leaning forward over the walker compromises balance and increases fall risk.