Questions 107

NCLEX-RN

NCLEX-RN Test Bank

Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

A male client with a head injury regains consciousness and the normal loss. Which of the following nursing statements is most appropriate as the client awakens?

Correct Answer: D

Rationale: Providing clear, concise orientation information is most appropriate for a client regaining consciousness to reduce confusion and anxiety. Calling family, asking for personal details, or assuming confusion may overwhelm or distress the client.

Question 2 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 3 of 5

What is the nurse's best response to a client with MS experiencing fatigue?

Correct Answer: B

Rationale: Scheduling rest periods helps manage fatigue while supporting activity in multiple sclerosis.

Question 4 of 5

A client states, 'I don't want any more tests. Who cares what kind of leukemia I have? I just want to be treated now.' Which is the nurse's best response?

Correct Answer: B

Rationale: The nurse should explain that specific tests help tailor treatment to the type of leukemia, improving effectiveness. This addresses the client's desire for treatment while emphasizing the importance of diagnostic clarity. The other responses are empathetic but do not provide a rationale for testing.

Question 5 of 5

After an inguinal herniorrhaphy, the nurse should assess the client carefully for which of the following likely complications?

Correct Answer: D

Rationale: Urine retention is a likely complication after inguinal herniorrhaphy due to anesthesia, pain, or surgical manipulation near the bladder. Pneumonia, deep vein thrombosis, and paralytic ileus are less specific to this surgery. CN: Physiological adaptation; CL: Analyze

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