NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
Cimetidine (Tagamet) may also be used to treat hiatal hernia. The nurse should understand that this drug is used to prevent which of the following?
Correct Answer: C
Rationale: Cimetidine, an H2-receptor antagonist, reduces gastric acid production, helping to prevent esophagitis caused by acid reflux in hiatal hernia.
Question 2 of 5
A 90-year-old male complains of feeling cold in his room even though the thermostat is set at 75°F (24°C). The client probably feels cold because older adults have:
Correct Answer: D
Rationale: Older adults have reduced thermoregulation due to decreased subcutaneous fat, vascular changes, and slower metabolic rate, making them feel colder.
Question 3 of 5
What is the nurse's best action for a client with a suspected stroke and aphasia?
Correct Answer: B
Rationale: Using simple phrases supports communication in stroke patients with aphasia.
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