NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with acute arterial occlusion of the left lower extremity. To prevent further tissue damage, it is important for the nurse to observe for which of the following:
Correct Answer: B
Rationale: Acute arterial occlusion causes ischemia, leading to loss of sensory (numbness) and motor function (weakness) in the affected limb. Monitoring for these changes is critical to detect progression and prevent tissue damage. Blood pressure/heart rate, metabolic acidosis, and swelling are less specific or late findings.
Question 2 of 5
The nurse should instruct the client to avoid which of the following drugs while taking metoclopramide hydrochloride (Reglan)?
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of metoclopramide and worsen gastrointestinal symptoms, so it should be avoided.
Question 3 of 5
Which medication requires monitoring for a client with Parkinson's disease?
Correct Answer: B
Rationale: Levodopa requires monitoring for efficacy and side effects, as it is a primary treatment for Parkinson's symptoms.
Question 4 of 5
The nurse is assessing the home environment of an elderly client who is using crutches during the postoperative recovery phase after hip pinning. Which of the following would pose the greatest hazard to the client as a risk for falling at home?
Correct Answer: B
Rationale: Scatter rugs are a significant fall risk due to tripping hazards.
Question 5 of 5
During the initial stage of adaptation to the diagnosis of cancer and its treatment, the nurse can facilitate the client's adaptation by:
Correct Answer: D
Rationale: Arranging transportation and child care addresses practical barriers, facilitating the client's ability to focus on treatment and adapt to the diagnosis.