NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
A client with a hip fracture is using a walker. Which observation indicates incorrect use of the walker?
Correct Answer: A
Rationale: Leaning forward over the walker compromises balance and increases fall risk.
Question 2 of 5
A client is being admitted with a spinal cord transection at C7. Which of the following assessments take priority upon the client's arrival?
Correct Answer: C,E
Rationale: Respirations and blood pressure are the priority assessments for a C7 spinal cord injury, as this level can impair diaphragmatic function and cause neurogenic shock, both life-threatening. Reflexes, bladder function, and temperature are important but secondary to airway and circulation stability.
Question 3 of 5
The nurse is planning a home visit for a client with hepatitis. In order to prevent transmission the nurse should focus teaching on:
Correct Answer: D
Rationale: Hepatitis B and C are transmitted via body fluids, so condom use (
D) prevents sexual transmission. Food handling (
A) is more relevant for hepatitis A. Syringe disposal (
B) applies to needle-sharing risks, and alpha-interferon (
C) is treatment, not prevention.
Question 4 of 5
Alteplase recombinant, or tissue plasminogen activator (t-PA), is administered during the first 6 hours after onset of myocardial infarction (MI) to:
Correct Answer: D
Rationale: t-PA dissolves clots in the coronary artery, restoring blood flow (revascularization) to the ischemic myocardium, critical within the first 6 hours of MI.
Question 5 of 5
Which of the following indicates that the client with diabetes insipidus understands how to manage care?
Correct Answer: A
Rationale: Effective management of diabetes insipidus involves maintaining fluid and electrolyte balance through medication and adequate hydration.