NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client's chest tube is to be removed by the physician. Which of the following items should the nurse have ready to be placed directly over the wound when the chest tube is removed?
Correct Answer: D
Rationale: Petroleum gauze creates an airtight seal over the chest tube site, preventing air entry into the pleural space. Other dressings are less occlusive.
Question 2 of 5
The client who has been hospitalized with pancreatitis does not drink alcohol because of her religious convictions. She becomes upset when the physician persists in asking her about alcohol intake. The nurse should explain that the reason for these questions is that:
Correct Answer: A
Rationale: Alcohol is a primary cause of acute pancreatitis, so questioning its use (
A) is essential to identify etiology. Interference with tests (
B), general alcoholism screening (
C), or disregarding beliefs (
D) are not accurate explanations.
Question 3 of 5
An exercise program is prescribed for the client with hypertension. Which intervention would be most likely to assist the client in maintaining an exercise program?
Correct Answer: D
Rationale: Tailoring the exercise program to the client's needs and abilities ensures it is feasible and sustainable, promoting adherence.
Question 4 of 5
A client is to receive peritoneal dialysis. To prepare for the procedure, the nurse should?
Correct Answer: D
Rationale: Warming the dialysis solution prevents discomfort and promotes effective dialysis by relaxing abdominal muscles.
Question 5 of 5
The nurse is developing a plan of care for the client with viral hepatitis. The nurse should instruct the client to:
Correct Answer: A
Rationale: Adequate bed rest (
A) reduces metabolic demands and supports recovery in viral hepatitis. Increased fluids (
B) are supportive but secondary. High-protein diets (
C) or avoiding carbohydrates (
D) are not indicated for hepatitis management.