NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A client weighs 300 lb (136 kg) and has a history of deep vein thrombosis and thrombophlebitis. When reviewing a teaching plan with this client, the nurse knows that the client has understood the nurse's instructions when he states he will:
Correct Answer: B
Rationale: Weight loss reduces pressure on veins and improves circulation, critical for managing DVT and thrombophlebitis in an obese client. Avoiding exercise increases stasis, leg lifts are insufficient alone, and rubber bands can cause constriction, negating support hose benefits.
Question 2 of 5
The nurse assesses that the client with hepatitis is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. Based on this information, which of the following would be an appropriate nursing diagnosis?
Correct Answer: D
Rationale: Activity intolerance related to fatigue (
D) accurately reflects the client's rapid tiring due to hepatitis. Impaired mobility (
A), self-care deficit (
B), and ineffective coping (
C) are less directly supported by the symptoms described.
Question 3 of 5
The client is scheduled to have an upper gastrointestinal tract series of x-rays. Following the x-rays, the nurse should instruct the client to:
Correct Answer: A
Rationale: A laxative is typically recommended after an upper GI series to help eliminate the barium used in the procedure and prevent constipation.
Question 4 of 5
A client with Buerger's disease has established a goal to stop smoking. Which medication would be the most helpful in attaining this goal?
Correct Answer: A
Rationale: Zyban (bupropion) is an antidepressant that reduces nicotine cravings and withdrawal symptoms, making it effective for smoking cessation in Buerger's disease. Nicotine replacement (Nicotrol) may help but continues nicotine exposure, nitroglycerin is for angina, and ibuprofen is irrelevant.
Question 5 of 5
The nurse assesses that the client with hepatitis is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. Based on this information, which of the following would be an appropriate nursing diagnosis?
Correct Answer: D
Rationale: Activity intolerance related to fatigue (
D) best reflects the client's symptoms of tiring rapidly due to hepatitis. Impaired mobility (
A), self-care deficit (
B), and ineffective coping (
C) are less directly supported.