NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
The postoperative nursing assessment of a client's ability to swallow fluids before providing oral fluids is based on the type of anesthesia given. Which of the following clients would not have delayed fluid restrictions?
Correct Answer: A,C
Rationale: Local anesthesia (bronchoscopy, carpal tunnel repair) does not affect swallowing reflexes, so fluids are not delayed. General or spinal anesthesia (B,
D) impairs swallowing, requiring delayed fluid intake.
Question 5 of 5
A nurse is assessing a surgical client's blood pressure 8 hours after surgery. The client's blood pressure before surgery was 120/80 mm Hg and on admission to the postsurgical nursing unit, it was 110/80 mm Hg. The client's blood pressure is now 90/70 mm Hg. What should the nurse do first?
Correct Answer: B
Rationale: A drop to 90/70 mm Hg suggests hypovolemia, likely from bleeding. Checking the dressing for bleeding is the first step to identify the cause before further interventions.