NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
Before a client's discharge after mitral valve replacement surgery, the nurse should evaluate the client's understanding of postsurgery activity restrictions. Which of the following should the client not engage in until after the 1-month postdischarge appointment with the surgeon?
Correct Answer: B
Rationale: Lifting heavy objects (>10 lb) risks sternal dehiscence post-mitral valve replacement, so it is restricted until surgeon approval.
Question 2 of 5
A client with jaundice has pruritis and states that he has areas of irritation from scratching. What measures can the nurse discuss to prevent skin breakdown? Select all that apply.
Correct Answer: B,C,D
Rationale: Baking soda baths (
B), short nails (
C), and rubbing with knuckles (
D) reduce itching and prevent skin breakdown. Calamine (
A) is helpful, not avoided. Alcohol (E) dries skin, worsening irritation. Sodium (F) is unrelated.
Question 3 of 5
In providing care to the client with leukemia who has developed thrombocytopenia, the nurse assesses the most common sites for bleeding. Which of the following is not a common site?
Correct Answer: A
Rationale: Thrombocytopenia in leukemia increases bleeding risk in the gastrointestinal tract, brain/meninges, and pulmonary system due to mucosal surfaces and vascularity. The biliary system is not a common site for bleeding.
Question 4 of 5
Which of the following indicates that the client with diabetes insipidus understands how to manage care?
Correct Answer: A
Rationale: Effective management of diabetes insipidus involves maintaining fluid and electrolyte balance through medication and adequate hydration.
Question 5 of 5
Which assessment is most important for a client receiving mannitol?
Correct Answer: B
Rationale: Urine output is critical to monitor for mannitol's diuretic effect in reducing intracranial pressure.