NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 38.4°C; pulse 114; respirations 22; blood pressure 142/90. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the primary care provider for the client to receive:
Correct Answer: A
Rationale: Severe pain requires a potent analgesic. Hydromorphone I.V. (
A) provides rapid, effective pain relief. Diltiazem (
B) is for cardiac conditions, not pain. Meperidine (
C) is less preferred due to side effects, and promethazine (
D) is for nausea, not pain.
Question 2 of 5
A client with bladder cancer reports fatigue and weight loss. The nurse should assess for:
Correct Answer: A
Rationale: Fatigue and weight loss in bladder cancer may indicate metastasis, as the disease progresses.
Question 3 of 5
Which of the following is a priority outcome for the client with Addison's disease?
Correct Answer: A
Rationale: Medication compliance is critical in Addison's disease to prevent adrenal crisis and maintain hormonal balance.
Question 4 of 5
The nurse should instruct the client to avoid which of the following drugs while taking metoclopramide hydrochloride (Reglan)?
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of metoclopramide and worsen gastrointestinal symptoms, so it should be avoided.
Question 5 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.