NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with deep vein thrombosis suddenly develops dyspnea, tachypnea, and chest discomfort. What should the nurse do first?
Correct Answer: D
Rationale: Sudden dyspnea, tachypnea, and chest discomfort suggest a pulmonary embolism, a medical emergency. Contacting the physician first ensures rapid intervention. Elevating the bed, encouraging coughing, or auscultating lungs delays critical treatment.
Question 2 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 3 of 5
A client with Buerger's disease smokes two packs of cigarettes a day. Smoking cessation is critical or the client may lose the affected extremity. When helping a client change behavior, it is important to know the client's:
Correct Answer: D
Rationale: Motivation is critical for behavior change, such as smoking cessation in Buerger's disease, as it drives the client's commitment to quit. Understanding motivation (e.g., desire to avoid amputation) guides tailored interventions. Support groups, treatment goals, and perception are secondary to motivation.
Question 4 of 5
An airplane crash results in mass casualties. The nurse is directing personnel to tag all victims. Which is normal should be placed on the tag? Select all that apply.
Correct Answer: A,B,C
Rationale: Victim tags should include triage priority, identifying information, and treatments administered to ensure proper care and identification. Jewelry and next of kin are secondary considerations.
Question 5 of 5
Which of the following activities should the nurse teach the client to implement after the removal of nasal packing on the second postoperative day?
Correct Answer: B
Rationale: Applying water-soluble jelly lubricates the nares, preventing crusting and discomfort post-packing removal. Cleaning is safe once packing is removed. A drip pad is unnecessary unless bleeding persists. Irrigation with a bulb syringe is not standard care.