NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The right hand of a client with multiple sclerosis trembles severely whenever she attempts a purposeful act, such as picking up her coffee cup or buttoning her dress. Which is the best legal documentation in nurses' notes of the chart for this client assessment?
Correct Answer: D
Rationale: The most detailed and accurate documentation is: "Slight shaking of right hand increases to severe tremor when client tries to button her clothes or drink from a cup," as it describes the intention tremor specifically and legally.
Question 2 of 5
Which assessment is most important for a client receiving mannitol?
Correct Answer: B
Rationale: Urine output is critical to monitor for mannitol's diuretic effect in reducing intracranial pressure.
Question 3 of 5
A client with acute renal failure has a potassium level of 6.5 mEq/L. The nurse should prepare for:
Correct Answer: A
Rationale: Insulin and glucose shift potassium into cells, treating hyperkalemia.
Question 4 of 5
A 42-year-old female is interested in making dietary changes to reduce her risk of colon cancer. What dietary selections should the nurse suggest?
Correct Answer: B
Rationale: A diet high in fiber (bran muffin, broccoli) and low in fat (skim milk) reduces colon cancer risk by promoting healthy digestion and reducing carcinogenic exposure in the colon.
Question 5 of 5
The client tells the nurse that he is allergic to shellfish. The nurse should ask the client if he is also allergic to:
Correct Answer: B
Rationale: Shellfish allergies are often associated with iodine sensitivity, as shellfish contain iodine. Iodine-based skin preparations used in surgery could trigger an allergic reaction, so this must be assessed. Other options are unrelated to shellfish allergies.