NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A client undergoing chemotherapy tells the nurse, 'I do not want to get out of bed in the morning because I am so tired.' The nursing plan of care should include:
Correct Answer: B
Rationale: An individually tailored exercise program can help combat fatigue, improve energy levels, and enhance quality of life for chemotherapy patients.
Question 2 of 5
The nurse is tracking data on a group of clients with heart failure who have been discharged from the hospital and are being followed at a clinic. Which of the following data indicate that nursing interventions of monitoring and teaching have been effective?
Correct Answer: A,C,D
Rationale: No weight gain (
A), medication adherence (
C), and low hospitalization rates (
D) indicate effective management of heart failure through monitoring and teaching.
Question 3 of 5
A client is taking an antacid for treatment of a peptic ulcer. Which of the following statements best indicates that the client understands how to correctly take the antacid?
Correct Answer: D
Rationale: Antacids are most effective when taken 1 to 3 hours after meals, as they neutralize gastric acid during peak acid secretion. Taking antacids with other medications can interfere with absorption, and fluid intake does not need to be restricted.
Question 4 of 5
A postoperative client is prescribed enoxaparin (Lovenox) 40 mg subcutaneous daily. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Enoxaparin can cause thrombocytopenia. Monitoring platelet count ensures early detection of this potential adverse effect.
Question 5 of 5
A nurse assesses a 40-year-old female client with vasospastic disorder (Raynaud’s phenomenon) involving her right hand. The nurse notes the information in the progress notes, as shown below. From these fi ndings, the nurse should formulate which priority nursing diagnosis?
Correct Answer: B
Rationale: The client complains of numbness in her fingertips, thus Disturbed sensory perception (tactile) is the priority nursing diagnosis. The client does not complain of acute pain. The other data suggest that the circulation is adequate at this time, so neither Ineffective tissue perfusion nor Risk for impaired skin integrity is the priority nursing diagnosis.