Questions 107

NCLEX-RN

NCLEX-RN Test Bank

Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

The client with Addison's disease should anticipate the need for increased glucocorticoid supplementation in which of the following situations:

Correct Answer: C

Rationale: Oral surgery is a stressful event requiring increased glucocorticoid supplementation to prevent adrenal crisis.

Question 2 of 5

A client with peripheral vascular disease has undergone a right femoral-popliteal bypass graft. The blood pressure has decreased from 124/80 to 94/62. What should the nurse assess first?

Correct Answer: B

Rationale: A significant drop in blood pressure post-femoral-popliteal bypass graft suggests possible hypoperfusion or graft occlusion. Assessing pedal pulses first is critical to ensure the graft is patent and blood flow is restored to the lower extremity. Compromised pulses could indicate graft failure, requiring immediate intervention. IV fluid rate, nasal cannula flow rate, and capillary refill are secondary considerations after confirming vascular patency.

Question 3 of 5

Which fluid is best for a client with renal calculi?

Correct Answer: C

Rationale: Water increases urine volume, reducing stone formation risk.

Question 4 of 5

A 60-year-old female with chronic cancer pain has been receiving opiates for 4 months. She rated her pain as an 8 on a 10-point scale before starting the opioid medication. She has just had a thorough examination with no new evidence of increased disease, yet her pain is close to 8 again. The most likely explanation for her increasing pain is:

Correct Answer: B

Rationale:
Tolerance to opioids is the most likely explanation, as the body adapts to the medication over time, reducing its effectiveness and requiring a dose adjustment.

Question 5 of 5

Atropine sulfate (Atropine) is contraindicated in all but which one of the following clients?

Correct Answer: A

Rationale: Atropine is contraindicated in glaucoma (increases intraocular pressure), urine retention (worsens retention), and bowel obstruction (reduces motility). It is not contraindicated in diabetes, as it has no direct effect on glucose metabolism.

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