NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
In preparation for total knee surgery, a 200-lb client with osteoarthritis must lose weight. Which of the following exercises should the nurse recommend as best if the client has no contraindications?
Correct Answer: C
Rationale: Aquatic exercise reduces joint stress while promoting weight loss, ideal for osteoarthritis.
Question 2 of 5
Which of the following positions would be appropriate for a client with severe ascites?
Correct Answer: A
Rationale: Fowler's position (
A) elevates the head, reducing diaphragm pressure from ascites and aiding breathing. Side-lying (
B), Reverse Trendelenburg (
C), and Sims (
D) are less effective.
Question 3 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 4 of 5
When preparing a client for discharge from the hospital after a total knee replacement, the nurse should include which of the following information in the discharge plan? Select all that apply.
Correct Answer: A
Rationale: Reporting infection signs is critical to prevent complications. Elevating the leg when sitting and keeping stockings on reduce swelling and thrombosis risk.
Question 5 of 5
A client with acute renal failure has metabolic acidosis. The nurse expects:
Correct Answer: A
Rationale: Sodium bicarbonate corrects metabolic acidosis in acute renal failure.