NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
The client has had a cataract removed. The nurse's discharge instructions should include which of the following?
Correct Answer: C
Rationale: Using an eye shield at night prevents rubbing the eye. The head should be turned to the side to scan the entire visual field to compensate for impaired peripheral vision. Eye medications may initially cause sensitivity to bright light. The surgeon changes the eye patch on the second postoperative day.
Question 2 of 5
Which finding indicates a properly functioning ileal conduit?
Correct Answer: B
Rationale: Mucus in the urine is normal due to the intestinal segment used in the conduit.
Question 3 of 5
During the early phase of burn care the nurse should assess the client for?
Correct Answer: D
Rationale: In the early phase, cell damage from burns releases potassium, causing hyperkalemia. Sodium levels typically decrease (hyponatremia), and metabolic acidosis is more common due to tissue hypoxia.
Question 4 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 5 of 5
A car accident involves four vehicles on a remote interstate. The nearest emergency department is 15 minutes away. Which victim should be transported by helicopter to the nearest hospital?
Correct Answer: B
Rationale: The unconscious woman with signs of shock (cold, clammy skin, tachycardia) is in critical condition and requires immediate transport to stabilize her condition.