Questions 108

NCLEX-RN

NCLEX-RN Test Bank

Adult Health II Respiratory NCLEX Questions Questions

Extract:


Question 1 of 5

Ventricular tachycardia is displayed on the cardiac monitor of a client admitted to the telemetry unit. Which should the nurse do first?

Correct Answer: C

Rationale: Checking for a pulse determines if ventricular tachycardia is pulseless (requiring defibrillation) or stable (possibly requiring cardioversion or medication).

Question 2 of 5

Which of the following clients is at greatest risk for Buerger's disease?

Correct Answer: A

Rationale: Buerger's disease (thromboangiitis obliterans) is strongly associated with heavy tobacco use, particularly in young males. A 29-year-old male with a 14-year smoking history is at greatest risk. Birth control pills, diabetes, and atherosclerosis are not primary risk factors for Buerger's disease.

Question 3 of 5

A nurse is completing the health history for a client with the patient taking echinacea for a health care. The client asks, 'Why Isn't this helping me feel better?' Which of the following responses by the nurse would be the most accurate?

Correct Answer: A

Rationale: At this time, there is no strong research evidence to warrant recommendations of herbal products for management of colds; further study is needed to show evidence of therapeutic effects and indications. Antibiotics are effective against bacteria; the head cold may have a viral cause. An uncomplicated upper respiratory tract infection subsides within 2 to 3 weeks. There may be a drug-drug interaction with herbal products and prescriptions.

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

A client post-extracorporeal shock wave lithotripsy should report:

Correct Answer: B

Rationale: Severe flank pain may indicate a complication like hematoma or obstruction.

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