NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
The nurse should plan to begin rehabilitation efforts for the burn client:
Correct Answer: B
Rationale: Rehabilitation begins after stabilizing the client's circulatory status (emergent phase), as this ensures survival and allows focus on recovery. Immediate rehab is unsafe, and complete pain elimination is unrealistic.
Question 2 of 5
A client who has undergone a mastectomy is worried about her body image and its impact on her sexual relationship. The nurse should suggest:
Correct Answer: A
Rationale: Wearing a prosthesis can help the client feel more confident about her body image during intimate moments, supporting her sexual relationship.
Question 3 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 4 of 5
The nurse is instructing a client who is at risk for peripheral vascular disease how to use knee-length elastic stockings (support hose). The teaching plan should include which of the following? Check all that apply.
Correct Answer: A,C
Rationale: Rationales:
A) Applying elastic stockings in the morning before edema worsens helps promote venous return.
C) Applying them while in bed (before standing) minimizes swelling and eases application.
B) Removing stockings for swelling requires medical evaluation, not automatic removal.
D) Rolling down to form a cuff creates pressure points, impairing circulation. E) Stockings should be removed daily for skin inspection and hygiene, not kept on for 48 hours.
Question 5 of 5
Which finding indicates effective hemodialysis?
Correct Answer: A
Rationale: Decreased BUN indicates effective removal of waste products.