NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with acute renal failure has a potassium level of 6.5 mEq/L. The nurse should prepare for:
Correct Answer: A
Rationale: Insulin and glucose shift potassium into cells, treating hyperkalemia.
Question 2 of 5
Which of the following is contraindicated for a client diagnosed with disseminated intravascular coagulation (DIC)?
Correct Answer: C
Rationale: Warfarin is contraindicated in DIC because it further inhibits clotting factors, worsening bleeding. Treating the underlying cause, administering heparin (to stop clotting), and replacing blood products are standard treatments to manage DIC.
Question 3 of 5
The nurse is developing a plan of care for the client with viral hepatitis. The nurse should instruct the client to:
Correct Answer: A
Rationale: Adequate bed rest (
A) reduces metabolic demands and supports recovery in viral hepatitis. Increased fluids (
B) are supportive but secondary. High-protein diets (
C) or avoiding carbohydrates (
D) are not indicated for hepatitis management.
Question 4 of 5
Which of the following nursing interventions would promote effective airway clearance in a client with acute respiratory distress?
Correct Answer: D
Rationale: Suctioning clears secretions when coughing is ineffective in ARDS, maintaining airway patency. Oxygen delivery, turning, and sedatives are supportive but less direct for airway clearance.
Question 5 of 5
When monitoring a client who is receiving t-PA, the nurse should have resuscitation equipment available because reperfusion of the cardiac tissue can result in which of the following?
Correct Answer: A
Rationale: Reperfusion from t-PA can cause arrhythmias due to myocardial irritability as blood flow is restored, necessitating resuscitation equipment.