NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is assessing a client's activity tolerance by having the client walk on a treadmill for 5 minutes. Which of the following indicates an abnormal response?
Correct Answer: B
Rationale: A decrease in respiratory rate after exercise is abnormal, as physical activity typically increases respiratory demand to meet oxygen needs. A pulse increase of 20 bpm, a slight rise in diastolic blood pressure, and a near-return to resting pulse after 3 minutes are normal responses to moderate exercise.
Question 2 of 5
The nurse's assignment consists of the following four clients. From highest to lowest priority, in which order should the nurse assess the clients after receiving morning report?
Order the Items
Source Container
Correct Answer: A,B,C,D
Rationale: Confusion in cirrhosis (
A) indicates possible hepatic encephalopathy, a priority. Pain in pancreatitis (
B) requires prompt relief. Postoperative T-tube monitoring (
C) is next. Discharge teaching (
D) is lowest priority.
Question 3 of 5
Post-cystectomy, a client asks about the purpose of the ileal conduit. The nurse explains it is to:
Correct Answer: B
Rationale: An ileal conduit diverts urine from the ureters to a stoma, collected in an external pouch.
Question 4 of 5
The nurse is applying a hand mitt restraint for a client with pruritis (see fi gure). The nurse should first:
Correct Answer: A
Rationale: Before using any restraints, the nurse must verify that a physician has written an order for the restraint. The mitt does not need to be secured with ties. The client can move the hand as needed. It is not necessary to place a pillow under the wrist. The nurse should place the mitt on the palmer surface of the hand.
Question 5 of 5
A 60-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following?
Correct Answer: B
Rationale: Hypothyroidism causes a slowed metabolism, leading to weight gain. Tachycardia, diarrhea, and nausea are more associated with hyperthyroidism.