NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse observes that a client's upper arm tremors disappear as he unbuttons his shirt. Which statement best guides the nurse's analysis of this observation about the client's tremors?
Correct Answer: B
Rationale: In Parkinson's disease, resting tremors often decrease or disappear during purposeful movements, such as unbuttoning a shirt. This is a characteristic feature, not psychological, distraction-related, or random.
Question 2 of 5
The nurse is planning a home visit for a client with hepatitis. In order to prevent transmission the nurse should focus teaching on:
Correct Answer: D
Rationale: Hepatitis B and C are transmitted via body fluids, so condom use (
D) prevents sexual transmission. Food handling (
A) is more relevant for hepatitis A. Syringe disposal (
B) applies to needle-sharing risks, and alpha-interferon (
C) is treatment, not prevention.
Question 3 of 5
Which of the following indicates that the client with diabetes insipidus understands how to manage care?
Correct Answer: A
Rationale: Effective management of diabetes insipidus involves maintaining fluid and electrolyte balance through medication and adequate hydration.
Question 4 of 5
A nurse is providing teaching to a client about skin cancer. Which of the following should the nurse explain are risk factors for skin cancer? Select all that apply.
Correct Answer: A,C,E,F
Rationale: Increasing age, sun exposure, genetics, and immunosuppression increase skin cancer risk. Chemical pollutants are less significant, and increased pigmentation reduces risk.
Question 5 of 5
The nurse has just admitted a 35-year-old female client who has a serum vitamin B12 concentration of 800 pg/mL. Which of the following laboratory findings should cue the nurse to focus the client history assessment on specific drug or alcohol use?
Correct Answer: D
Rationale: A serum vitamin B12 level of 800 pg/mL is within the normal range (200–900 pg/mL), but a folate level of 1.5 ng/mL is low (normal: 2.7–17 ng/mL). Low folate levels can be associated with chronic alcohol use, as alcohol impairs folate absorption and metabolism. The nurse should assess the client's history for alcohol use, as this may contribute to the folate deficiency. The other lab values (bilirubin, creatinine, hemoglobin) are normal and do not suggest drug or alcohol use.