NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A client with end-stage cancer is receiving morphine for pain. The family is concerned about addiction. The nurse should explain that:
Correct Answer: A
Rationale: In terminal illness, addiction is not a concern, as the priority is pain control to ensure comfort, and this explanation reassures the family.
Question 2 of 5
A client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L. What should be the nurse's first response?
Correct Answer: D
Rationale: A potassium level of 5.8 mEq/L indicates hyperkalemia, which can cause cardiac complications under general anesthesia. Notifying the anesthesiologist first ensures prompt evaluation and management to ensure patient safety.
Question 3 of 5
Atropine sulfate (Atropine) is contraindicated in all but which one of the following clients?
Correct Answer: A
Rationale: Atropine is contraindicated in glaucoma (increases intraocular pressure), urine retention (worsens retention), and bowel obstruction (reduces motility). It is not contraindicated in diabetes, as it has no direct effect on glucose metabolism.
Question 4 of 5
A client has been in the position shown in the figure for surgery. The nurse should document that the client has been in which of the following positions?
Correct Answer: C
Rationale: The high lithotomy position, used for procedures like vaginal hysterectomy, involves legs elevated in stirrups, as likely depicted in the figure, and should be documented accurately.
Question 5 of 5
Which of the following clients is expected to retain anesthetic agents longest?
Correct Answer: C
Rationale: The client with higher body fat (5'1', 200 lb) is likely to retain lipophilic anesthetic agents longer, as these drugs accumulate in adipose tissue, delaying elimination.