NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with a spinal cord injury is at risk for pressure ulcers. Which nursing intervention is most effective?
Correct Answer: D
Rationale: Turning every 2 hours redistributes pressure, preventing ulcer formation in immobilized clients.
Question 2 of 5
Which of the following is a risk factor for hypovolemic shock?
Correct Answer: A
Rationale: Hemorrhage is a primary cause of hypovolemic shock, as it reduces circulating blood volume. Antigen-antibody reactions cause anaphylactic shock, gram-negative bacteria cause septic shock, and vasodilation is a feature of distributive shock.
Question 3 of 5
What is the nurse's best response to a client with Parkinson's experiencing dyskinesia?
Correct Answer: B
Rationale: Teaching relaxation techniques can help manage dyskinesia, a side effect of Parkinson's medications.
Question 4 of 5
After insertion of a nasoenteric tube, the nurse should place the client in which position?
Correct Answer: C
Rationale: The semi-Fowler's position facilitates drainage and decompression via the nasoenteric tube while promoting comfort and preventing aspiration. Supine, right side-lying, or upright positions are less effective for this purpose. CN: Physiological adaptation; CL: Synthesize
Question 5 of 5
In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. The nurse should assess the client further for six years of:
Correct Answer: B
Rationale: Groin and bladder pain in renal calculi often indicate referred pain from the stone's movement or irritation along the urinary tract.