NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A client with a hip fracture is receiving heparin to prevent thromboembolism. Which laboratory value should the nurse monitor?
Correct Answer: B
Rationale: Heparin's effect is monitored via aPTT to ensure therapeutic anticoagulation.
Question 2 of 5
A male client with a head injury regains consciousness and the normal loss. Which of the following nursing statements is most appropriate as the client awakens?
Correct Answer: D
Rationale: Providing clear, concise orientation information is most appropriate for a client regaining consciousness to reduce confusion and anxiety. Calling family, asking for personal details, or assuming confusion may overwhelm or distress the client.
Question 3 of 5
The nurse is teaching a client about taking prophylactic warfarin sodium (Coumadin). Which statement indicates that the client understands how to take the drug?
Correct Answer: B,C,E
Rationale: Warfarin's maximum effect takes 3-4 days (
B), its effects persist 4-5 days after stopping (
C), and periodic blood tests (e.g., INR) are required (E). Peak action is not 2 hours, and protamine sulfate is the antidote for heparin, not warfarin.
Question 4 of 5
What is the primary goal collaboratively established by the client with Parkinson's disease, nurse, and physical therapist?
Correct Answer: A
Rationale: Maintaining joint flexibility is the primary goal to prevent contractures and maintain mobility in Parkinson's disease. Strength, endurance, and ataxia (less common in Parkinson's) are secondary.
Question 5 of 5
The nurse is preparing a client with multiple sclerosis (MS) for discharge from the hospital to home. The nurse should tell the client:
Correct Answer: B
Rationale: Encouraging activity, stress reduction, and fatigue management supports the client's quality of life and symptom control. Inactivity, changing disease course, or premature focus on aids are less appropriate.