Questions 107

NCLEX-RN

NCLEX-RN Test Bank

Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

The nurse assesses that the client with hepatitis is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. Based on this information, which of the following would be an appropriate nursing diagnosis?

Correct Answer: D

Rationale: Activity intolerance related to fatigue (
D) accurately reflects the client's rapid tiring due to hepatitis. Impaired mobility (
A), self-care deficit (
B), and ineffective coping (
C) are less directly supported by the symptoms described.

Question 2 of 5

The nurse is teaching a diabetic client using an empowerment approach. The nurse should initiate teaching by asking which of the following?

Correct Answer: D

Rationale: An empowerment approach focuses on the client's knowledge and needs. Starting with what the client already knows about their condition and medications helps tailor education effectively.

Question 3 of 5

A client has been in an automobile accident and the nurse is assessing the client for possible pneumothorax. The nurse should assess the client for:

Correct Answer: A

Rationale: Sudden, sharp chest pain is a hallmark of pneumothorax due to pleural irritation. Wheezing, hemoptysis, and cyanosis are less specific or occur later.

Question 4 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 5 of 5

Which of the following nursing interventions is likely to provide the most relief from the pain associated with renal colic?

Correct Answer: B

Rationale: Meperidine, an opioid, provides the most effective relief for the severe pain of renal colic by directly addressing pain pathways.

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