NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A 79-year-old female client is admitted to the hospital with a diagnosis of bacterial pneumonia. While obtaining the client's health history, the nurse learns that the client has osteoarthritis, follows a vegetarian diet, and is very concerned with cleanliness. Which of the following would most like to a predisposing factor for the diagnosis of pneumonia?
Correct Answer: A
Rationale: Advanced age weakens the immune system and respiratory muscles, increasing pneumonia risk. Osteoarthritis, a vegetarian diet, and daily bathing do not directly predispose to pneumonia.
Question 2 of 5
Which intervention is most effective for a client with MS-related vision impairment?
Correct Answer: B
Rationale: Large-print materials support clients with MS-related vision impairment by improving readability.
Question 3 of 5
The nurse should instruct a young female adult with sickle cell anemia to do which of the following? Select all that apply.
Correct Answer: A,B,D
Rationale: Sickle cell anemia requires preventive measures to avoid crises. Drinking fluids in hot weather prevents dehydration, a trigger for sickling. Avoiding high-altitude cities reduces hypoxia risk, another trigger. Pregnancy increases the risk of crises due to increased metabolic demands. The statement about being homozygous for HbS is incorrect, as it indicates sickle cell disease, not the trait. Flying on commercial airlines is generally safe if the client is stable.
Question 4 of 5
A 75-year-old client who has been taking furosemide (Lasix) regularly for 4 months tells the nurse that he is having trouble hearing. What would be the nurse's best response to this statement?
Correct Answer: B
Rationale: Furosemide can cause ototoxicity, leading to hearing loss. The nurse should advise the client to report this to the physician promptly for further evaluation and management.
Question 5 of 5
The nurse is preparing a client with multiple sclerosis (MS) for discharge from the hospital to home. The nurse should tell the client:
Correct Answer: B
Rationale: Encouraging activity, stress reduction, and fatigue management supports the client's quality of life and symptom control. Inactivity, changing disease course, or premature focus on aids are less appropriate.