Questions 107

NCLEX-RN

NCLEX-RN Test Bank

Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

A client is scheduled for a cardiac catheterization. The nurse should do which of the following preprocedure tasks? Select all that apply.

Correct Answer: B,C,D

Rationale: Checking iodine sensitivity (
B), verifying consent (
C), and withholding food/fluids (
D) are standard pre-catheterization tasks to ensure safety and preparedness.

Question 2 of 5

A client has a tibial fracture that required casting. Approximately 5 hours later, the client has increasing pain distal to the left tibial fracture despite the morphine injection administered 30 minutes previously. Which of the following should be the nurse's next assessment?

Correct Answer: A

Rationale: Increasing pain despite analgesia suggests compartment syndrome; checking the distal pulse assesses for vascular compromise.

Question 3 of 5

What is the nurse's best response to a client with MS experiencing fatigue?

Correct Answer: B

Rationale: Scheduling rest periods helps manage fatigue while supporting activity in multiple sclerosis.

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

During the early phase of burn care the nurse should assess the client for?

Correct Answer: D

Rationale: In the early phase, cell damage from burns releases potassium, causing hyperkalemia. Sodium levels typically decrease (hyponatremia), and metabolic acidosis is more common due to tissue hypoxia.

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