NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
A nurse is instructing a client who had abdominal surgery that day to do deep-breathing exercises. In which order should the nurse teach the client to perform diaphragmatic breathing and coughing?
Correct Answer: D,A,C,B
Rationale: The correct order is: splint the incision (
D) to reduce pain, inhale through the nose (
A) to expand lungs, exhale through pursed lips (
C) to control breathing, and cough deeply (
B) to clear secretions.
Question 2 of 5
The nurse is instructing a client who is at risk for peripheral vascular disease how to use knee-length elastic stockings (support hose). The teaching plan should include which of the following? Check all that apply.
Correct Answer: A,C
Rationale: Rationales:
A) Applying elastic stockings in the morning before edema worsens helps promote venous return.
C) Applying them while in bed (before standing) minimizes swelling and eases application.
B) Removing stockings for swelling requires medical evaluation, not automatic removal.
D) Rolling down to form a cuff creates pressure points, impairing circulation. E) Stockings should be removed daily for skin inspection and hygiene, not kept on for 48 hours.
Question 3 of 5
Which of the following is a priority outcome for the client with Addison's disease?
Correct Answer: A
Rationale: Medication compliance is critical in Addison's disease to prevent adrenal crisis and maintain hormonal balance.
Question 4 of 5
A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6°F (38.1°C). Which of the following would be a priority outcome for this client?
Correct Answer: C
Rationale: Severe flank pain is the most urgent issue, making pain alleviation the priority outcome to ensure client comfort and stability.
Question 5 of 5
Which of the following clinical manifestations does the nurse most likely observe in a client with Hodgkin's disease?
Correct Answer: B
Rationale: Hodgkin's disease typically presents with painless, enlarged cervical lymph nodes, often the first sign noticed. Difficulty swallowing, breathing, or liver fullness are less common or occur later.