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Basic Adult Health Care NCLEX Questions Questions

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Question 1 of 5

The nurse is teaching a client how to manage a nosebleed. Which of the following instructions would be appropriate to give the client?

Correct Answer: D

Rationale: Sitting and leaning forward while pinching the soft portion of the nose compresses the bleeding site and prevents blood from flowing down the throat. Tilting backward can cause swallowing of blood. Lying flat is not recommended. Blowing the nose can worsen bleeding.

Question 2 of 5

A 60-year-old female with chronic cancer pain has been receiving opiates for 4 months. She rated her pain as an 8 on a 10-point scale before starting the opioid medication. She has just had a thorough examination with no new evidence of increased disease, yet her pain is close to 8 again. The most likely explanation for her increasing pain is:

Correct Answer: B

Rationale:
Tolerance to opioids is the most likely explanation, as the body adapts to the medication over time, reducing its effectiveness and requiring a dose adjustment.

Question 3 of 5

The nurse should instruct a young female adult with sickle cell anemia to do which of the following? Select all that apply.

Correct Answer: A,B,D

Rationale: Sickle cell anemia requires preventive measures to avoid crises. Drinking fluids in hot weather prevents dehydration, a trigger for sickling. Avoiding high-altitude cities reduces hypoxia risk, another trigger. Pregnancy increases the risk of crises due to increased metabolic demands. The statement about being homozygous for HbS is incorrect, as it indicates sickle cell disease, not the trait. Flying on commercial airlines is generally safe if the client is stable.

Question 4 of 5

Which of the following positions would be appropriate for a client with severe ascites?

Correct Answer: A

Rationale: Fowler's position (
A) elevates the head, reducing diaphragm pressure from ascites and aiding breathing. Side-lying (
B), Reverse Trendelenburg (
C), and Sims (
D) are less effective.

Question 5 of 5

A client with diverticulosis asks about preventing flare-ups. Which recommendation should the nurse provide?

Correct Answer: B

Rationale: Avoiding nuts and seeds may reduce the risk of diverticulitis flare-ups by preventing irritation of diverticula, though evidence is mixed. Daily laxatives are not recommended, red meat is not restricted, and limiting activity is unnecessary. CN: Health promotion and maintenance; CL: Synthesize

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