NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
The client who has been hospitalized with pancreatitis does not drink alcohol because of her religious convictions. She becomes upset when the physician persists in asking her about alcohol intake. The nurse should explain that the reason for these questions is that:
Correct Answer: A
Rationale: Alcohol is a primary cause of acute pancreatitis, so questioning its use (
A) is essential to identify etiology. Interference with tests (
B), general alcoholism screening (
C), or disregarding beliefs (
D) are not accurate explanations.
Question 2 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.
Question 3 of 5
A client with renal calculi is prescribed tamsulosin. The nurse explains it:
Correct Answer: B
Rationale: Tamsulosin relaxes ureter muscles, aiding stone passage.
Question 4 of 5
Which of the following findings should the nurse report to the client's physician for a client with unstable type 1 diabetes mellitus? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Systolic hypertension (145 mm Hg), low HDL (30 mg/dL), high HbA1c (10.2%), and elevated triglycerides (425 mg/dL) indicate poor control and cardiovascular risk, requiring reporting. Normal diastolic pressure and negative ketones are not concerning.
Question 5 of 5
The nurse is developing a plan of care for the client with viral hepatitis. The nurse should instruct the client to:
Correct Answer: A
Rationale: Adequate bed rest (
A) reduces metabolic demands and supports recovery in viral hepatitis. Increased fluids (
B) are supportive but secondary. High-protein diets (
C) or avoiding carbohydrates (
D) are not indicated for hepatitis management.