NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
The nurse should instruct the client to avoid which of the following drugs while taking metoclopramide hydrochloride (Reglan)?
Correct Answer: C
Rationale: Alcohol can enhance the sedative effects of metoclopramide and worsen gastrointestinal symptoms, so it should be avoided.
Question 2 of 5
A client at risk for lung cancer asks why he is scheduled for a computed tomography (CT) scan as part of his initial workup. The nurse's best response is which of the following?
Correct Answer: C
Rationale: CT scans are valuable in lung cancer workups because they can detect small differences in tissue density and identify nodal involvement, aiding in staging and diagnosis.
Question 3 of 5
A client is admitted for a revascularization procedure for arteriosclerosis in his left iliac artery. To promote circulation in the extremities, the nurse should:
Correct Answer: C
Rationale: Positioning the left leg at or below the body's horizontal plane promotes arterial blood flow to the extremity in arteriosclerosis, avoiding gravitational resistance. A firm mattress is irrelevant, warmth is beneficial but secondary, and leg raises may not be feasible pre-revascularization.
Question 4 of 5
After insertion of a nasoenteric tube, the nurse should place the client in which position?
Correct Answer: C
Rationale: The semi-Fowler's position facilitates drainage and decompression via the nasoenteric tube while promoting comfort and preventing aspiration. Supine, right side-lying, or upright positions are less effective for this purpose. CN: Physiological adaptation; CL: Synthesize
Question 5 of 5
Which of the following is a risk factor for hypovolemic shock?
Correct Answer: A
Rationale: Hemorrhage is a primary cause of hypovolemic shock, as it reduces circulating blood volume. Antigen-antibody reactions cause anaphylactic shock, gram-negative bacteria cause septic shock, and vasodilation is a feature of distributive shock.