NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A client with malignant melanoma asks the nurse about the prognosis. The nurse should base a response that informs the client that the prognosis depends on:
Correct Answer: D
Rationale: Melanoma prognosis primarily depends on lesion thickness (Breslow depth), as thicker lesions indicate deeper invasion and worse outcomes.
Question 2 of 5
The nurse is administering packed red blood cells (PRBCs) to a client. The nurse should first:
Correct Answer: D
Rationale: The nurse should stay with the client during the first 15 minutes of a blood transfusion, as this is the most likely time for a transfusion reaction to occur. Close monitoring allows for immediate intervention if a reaction is detected. Discontinuing the IV is only done if a reaction occurs, PRBCs should not be administered via a 20-gauge needle (a larger gauge is needed), and dextrose solutions are incompatible with PRBCs.
Question 3 of 5
What is the nurse's best response to a client with Parkinson's experiencing dyskinesia?
Correct Answer: B
Rationale: Teaching relaxation techniques can help manage dyskinesia, a side effect of Parkinson's medications.
Question 4 of 5
A client has just had an inguinal herniorrhaphy. Which of the following instructions would be most appropriate to include in his discharge plan?
Correct Answer: B
Rationale: Applying an ice bag to the scrotum reduces swelling and discomfort post-inguinal herniorrhaphy. Turning and breathing are general postoperative care, scrotal support is not specified, and high Fowler's position is not necessary. CN: Physiological adaptation; CL: Synthesize
Question 5 of 5
How often should the postoperative client's temperature be assessed during the first 24 hours after surgery?
Correct Answer: B
Rationale: Assessing temperature every 4 hours in the first 24 hours detects fever early, indicating potential infection or other complications.