NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.
Question 2 of 5
Which goal is the most realistic and appropriate for a client diagnosed with Parkinson's disease?
Correct Answer: D
Rationale: Maintaining optimal body function is realistic, focusing on symptom management and quality of life. Parkinson's is incurable, progression cannot be stopped, and terminal care is premature for most clients.
Question 3 of 5
A client with Ménière'sdisease continues to have disabling attacks of vertigo and elects to have a labyrinthectomy. A priority nursing diagnosis for the client before surgery is:
Correct Answer: B
Rationale: Risk for injury related to vertigo is the priority due to the high risk of falls and accidents during vertigo attacks, which is a significant concern pre-surgery.
Question 4 of 5
A 52-year-old client with lung cancer tells the nurse that he has a low-grade fever (100.6°F [38.1°C]), nonproductive cough, and increasing fatigue. He completed the radiation therapy to the mass in his right lung and mediastinum 10 weeks ago and has a follow-up appointment to see the physician in 2 weeks. What is the most appropriate response by the nurse?
Correct Answer: C
Rationale: Fever, cough, and fatigue post-radiation may indicate infection or pneumonitis, requiring prompt evaluation, especially in a lung cancer patient, so an office visit today is appropriate.
Question 5 of 5
Which of the following is the priority for a client in addisonian crisis?
Correct Answer: B
Rationale: Addisonian crisis is a life-threatening condition requiring urgent intervention to prevent irreversible shock due to adrenal insufficiency.