NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse's assignment consists of the following four clients. From highest to lowest priority, in which order should the nurse assess the clients after receiving morning report?
Correct Answer: A,B,C,D
Rationale: Confusion in cirrhosis (
A) indicates possible hepatic encephalopathy, a priority. Pain in pancreatitis (
B) requires prompt relief. Postoperative T-tube monitoring (
C) is next. Discharge teaching (
D) is lowest priority.
Question 2 of 5
A client post-extracorporeal shock wave lithotripsy should report:
Correct Answer: B
Rationale: Severe flank pain may indicate a complication like hematoma or obstruction.
Question 3 of 5
A client undergoing chemotherapy tells the nurse, 'I do not want to get out of bed in the morning because I am so tired.' The nursing plan of care should include:
Correct Answer: B
Rationale: An individually tailored exercise program can help combat fatigue, improve energy levels, and enhance quality of life for chemotherapy patients.
Question 4 of 5
A client with renal calculi has hematuria. The nurse should:
Correct Answer: A
Rationale: Hematuria is expected with renal calculi; monitoring ensures no excessive bleeding.
Question 5 of 5
An advantage of using biologic burn grafts such as porcine (pigskin) grafts is that they appear to help:
Correct Answer: B
Rationale: Porcine grafts act as a temporary biological dressing, promoting epithelial tissue growth by providing a protective barrier and stimulating healing. They do not form tough skin, provide permanent closure, or directly affect subcutaneous tissue.