NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A client with Buerger's disease has established a goal to stop smoking. Which medication would be the most helpful in attaining this goal?
Correct Answer: A
Rationale: Zyban (bupropion) is an antidepressant that reduces nicotine cravings and withdrawal symptoms, making it effective for smoking cessation in Buerger's disease. Nicotine replacement (Nicotrol) may help but continues nicotine exposure, nitroglycerin is for angina, and ibuprofen is irrelevant.
Question 2 of 5
A nurse is assigned to a client with venous thrombus. The nurse identifies a nursing diagnosis of Impaired physical mobility related to pain. Which should the nurse do first?
Correct Answer: A
Rationale: Elevating the legs (without knee flexion) promotes venous return, reducing pain and swelling in venous thrombus, addressing impaired mobility. Elevating with a pillow under the knees may impede flow, fluids are secondary, and massaging risks dislodging the thrombus.
Question 3 of 5
A client weighs 300 lb (136 kg) and has a history of deep vein thrombosis and thrombophlebitis. When reviewing a teaching plan with this client, the nurse knows that the client has understood the nurse's instructions when he states he will:
Correct Answer: B
Rationale: Weight loss reduces pressure on veins and improves circulation, critical for managing DVT and thrombophlebitis in an obese client. Avoiding exercise increases stasis, leg lifts are insufficient alone, and rubber bands can cause constriction, negating support hose benefits.
Question 4 of 5
A sedentary, obese, middle-aged client is recovering from a right iliac blood clot. The nurse should develop a discharge plan with the client that will focus on participating in which of the following activities? Select all that apply.
Correct Answer: A,C,D
Rationale: Rationales:
A) Aerobic activity (e.g., walking) improves circulation and reduces clot recurrence.
C) Weight control decreases venous pressure and clot risk.
D) Stress management reduces sympathetic activation, aiding vascular health.
B) Strength training is less critical for clot management and may be contraindicated initially.
Question 5 of 5
A client comes to the health clinic 3 years after undergoing a resection of the terminal ileum and tells the nurse that he has weakness, shortness of breath, and a sore tongue. Which client statement indicates a need for intervention and client teaching?
Correct Answer: D
Rationale: Resection of the terminal ileum impairs vitamin B12 absorption, as the ileum is the primary site for B12 uptake. The client's symptoms (weakness, shortness of breath, sore tongue) suggest B12 deficiency, likely due to inadequate absorption of oral B12 supplements. The statement about taking a B12 tablet daily indicates a need for intervention, as the client may require intramuscular B12 injections. The other statements are appropriate or expected (loose stools are common post-resection).