NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
A client with malignant pleural effusions is complaining of dyspnea and chest pain. Place the following interventions that the nurse should perform in the correct order of priority.
Order the Items
Source Container
Correct Answer: B,A,C,D
Rationale: Oxygen (
B) addresses immediate hypoxia, morphine (
A) relieves pain and dyspnea, education for thoracentesis (
C) prepares for definitive treatment, and deep breathing (
D) supports respiratory function.
Question 2 of 5
The most common issue associated with sleep disturbances in the hospitalized client with cancer is:
Correct Answer: D
Rationale: Psychological factors, such as anxiety or fear related to cancer diagnosis and treatment, are the most common causes of sleep disturbances in hospitalized cancer patients.
Question 3 of 5
The son of a 78-year-old client with metastatic prostate cancer is asking the nurse about the purpose of hospice care. Which of the following statements by the nurse best describes hospice care?
Correct Answer: B
Rationale: Hospice care focuses on the client and family, providing holistic support to enhance quality of life and comfort during the end-of-life phase.
Question 4 of 5
A 57-year-old client has difficulty with mobility after cancer treatment therapies and states, 'Why should I bother stretching my muscles? It doesn't seem to make any difference what I do.' The nurse responds by helping the client establish reasonable activity goals, choose their own health care from the menu, and make choices about her daily activities. These interventions represent the nurse's attempt to address which of the following nursing diagnoses?
Correct Answer: B
Rationale: The client's statement reflects powerlessness, and the nurse's interventions aim to restore a sense of control through goal-setting and decision-making.
Question 5 of 5
A client with multiple myeloma is admitted with a serum calcium level of 13.2 mg/dL. Which of the following nursing interventions is the priority?
Correct Answer: C
Rationale: Hypercalcemia (serum calcium >10.5 mg/dL) in multiple myeloma requires urgent I.V. normal saline to promote calcium excretion and prevent renal damage, making it the priority intervention.