NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
The nurse is preparing the client for cardioversion. The nurse should do which of the following? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Using a conducting agent (
A), calling 'clear' (
C), recording energy/rhythm (
D), and applying pressure (E) ensure safe and effective cardioversion. Paddles over clothing is incorrect.
Question 2 of 5
A client is beginning external beam radiation therapy to the right axilla after a lumpectomy for breast cancer. Which of the following should the nurse include in client teaching?
Correct Answer: C
Rationale: Applying deodorant only under the left arm avoids irritation to the radiated right axilla, which is sensitive and prone to skin reactions during treatment.
Question 3 of 5
A client with type 1 diabetes mellitus is admitted to the emergency department. Which of the following respiratory patterns requires immediate action?
Correct Answer: A
Rationale: Deep, rapid respirations (Kussmaul respirations) indicate diabetic ketoacidosis, a life-threatening condition requiring immediate intervention.
Question 4 of 5
Which of the following activities should the nurse encourage the unlicensed assistive personnel to assist with in the care of postoperative clients? Select all that apply.
Correct Answer: A,B,D
Rationale: Unlicensed assistive personnel can empty/measure catheter bags (
A), reposition clients (
B), and report pain (
D). Teaching (
C) and assessing IV sites (E) require nursing judgment and are outside their scope.
Question 5 of 5
Which of the following is an environmental factor and increases the risk of cancer?
Correct Answer: B
Rationale: Nutrition is an environmental factor that influences cancer risk, as diets high in processed foods or low in fiber can increase the risk of cancers like colon cancer.