NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
A client is being discharged with nasal packing in place. The nurse should instruct the client to:
Correct Answer: A
Rationale: Frequent mouth care prevents dryness and infection due to mouth breathing with nasal packing. Saline drops are not needed with packing in place. The third option is unclear. Gargling is not routinely required.
Question 2 of 5
A 34-year-old female with a history of asthma is admitted to the emergency department. The nurse notes that the client is dyspneic, with a respiratory rate of 35 breaths/minute, nasal flaring, and use of accessory muscles. The nurse should first:
Correct Answer: B
Rationale: In an acute asthma attack with severe dyspnea, initiating oxygen therapy corrects hypoxemia, a priority. Bronchodilators are critical but secondary to oxygenation. I.V. fluids and breathing techniques are supportive but not immediate priorities.
Question 3 of 5
Amoxicillin trihydrate (Amoxil) 300 mg P.O. has been prescribed for a client with an oral infection. The medication is available in a liquid suspension that is available as 250 mg/5 mL. How many milliliters would the nurse administer?
Correct Answer: 6 mL
Rationale:
To calculate the dose: (300 mg / 250 mg) × 5 mL = 6 mL. The nurse should administer 6 milliliters of the amoxicillin suspension to deliver the prescribed 300 mg dose.
Question 4 of 5
A client with peripheral vascular disease has bypass surgery. The primary goal of the plan of care after surgery is to:
Correct Answer: A
Rationale: The primary goal post-bypass surgery for PVD is to maintain circulation, ensuring graft patency and adequate blood flow to the extremity to prevent ischemia or graft failure. Infection prevention, pain relief, and education are important but secondary to circulation.
Question 5 of 5
Which of the following indicates that the client with chronic obstructive pulmonary disease (COPD) who has been discharged to home understands his care plan?
Correct Answer: D
Rationale: Calling the physician for increased dyspnea on exertion shows understanding of when to seek help, a key part of COPD management. Pursed-lip breathing is helpful but less specific. Pain is not a primary COPD issue. High-flow oxygen (5 L/min) may suppress respiratory drive.