NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
Four days after surgery for internal fixation of a C3 to C4 fracture, a nurse is moving a client from the bed to the wheelchair. The nurse is checking the wheelchair for correct features for this client. Which of the following features of the wheelchair are appropriate for the needs of this client?
Correct Answer: B,D,E
Rationale: A high back and headrest provide neck stability, firm cushions prevent pressure ulcers, and a breath-controlled chair accommodates limited upper extremity function post-C3-C4 injury. A low back or lower seat height could compromise stability or transfer safety.
Question 2 of 5
The nurse is preparing to hang a new TPN bag. Which step is essential to prevent infection?
Correct Answer: B
Rationale: Verifying the TPN solution with another nurse ensures accuracy and prevents errors that could lead to infection or other complications. Clean gloves are insufficient (sterile technique is needed), tubing change frequency varies, and TPN is typically given via a central line. CN: Safety and infection control; CL: Synthesize
Question 3 of 5
A client returned from surgery with a debrided open tibial fracture and has a three-way drainage system. The nurse should first:
Correct Answer: D
Rationale: Checking blood pressure for hypotension is the priority, as bleeding from an open fracture can be life-threatening.
Question 4 of 5
The nurse using healing touch affects a client's pain primarily through:
Correct Answer: A
Rationale: Healing touch primarily uses energy fields to promote relaxation and pain relief, distinct from massage, physical touch therapy, or hypnosis.
Question 5 of 5
Which of the following is the priority for a client in addisonian crisis?
Correct Answer: B
Rationale: Addisonian crisis is a life-threatening condition requiring urgent intervention to prevent irreversible shock due to adrenal insufficiency.