NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client about taking prophylactic warfarin sodium (Coumadin). Which statement indicates that the client understands how to take the drug?
Correct Answer: B,C,E
Rationale: Warfarin's maximum effect takes 3-4 days (
B), its effects persist 4-5 days after stopping (
C), and periodic blood tests (e.g., INR) are required (E). Peak action is not 2 hours, and protamine sulfate is the antidote for heparin, not warfarin.
Question 2 of 5
The most common issue associated with sleep disturbances in the hospitalized client with cancer is:
Correct Answer: D
Rationale: Psychological factors, such as anxiety or fear related to cancer diagnosis and treatment, are the most common causes of sleep disturbances in hospitalized cancer patients.
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
Contraindications to the administration of tissue plasminogen activator (t-PA) include which of the following?
Correct Answer: B
Rationale: A history of cerebral hemorrhage is an absolute contraindication to t-PA due to the risk of bleeding. Age, heart failure, and smoking are not contraindications.
Question 5 of 5
The postoperative nursing assessment of a client's ability to swallow fluids before providing oral fluids is based on the type of anesthesia given. Which of the following clients would not have delayed fluid restrictions?
Correct Answer: A,C
Rationale: Local anesthesia (bronchoscopy, carpal tunnel repair) does not affect swallowing reflexes, so fluids are not delayed. General or spinal anesthesia (B,
D) impairs swallowing, requiring delayed fluid intake.