NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
What is a priority nursing action for a client post-ileal conduit surgery?
Correct Answer: A
Rationale: Monitoring stoma color ensures viability; a pink/red stoma indicates good blood supply.
Question 2 of 5
The nurse is caring for a client who has just had an ankle-brachial index (ABI) test. The left arm blood pressure was 160/80 mm Hg and a palpable systolic blood pressure of the left lower extremity was 130/60 mm Hg. These findings suggest that the client has:
Correct Answer: A
Rationale: ABI = ankle systolic BP ÷ arm systolic BP = 130 ÷ 160 = 0.81. An ABI of 0.8–0.9 indicates mild peripheral artery disease, suggesting some arterial narrowing. Normal ABI is 0.9–1.3, moderate is 0.5–0.8, and severe is <0.5.
Question 3 of 5
What is the purpose of straining urine in a client with renal calculi?
Correct Answer: B
Rationale: Straining urine captures stones for analysis to determine composition.
Question 4 of 5
Which of the following should the nurse include in the teaching plan for a client with arterial insufficiency to the feet that is being managed conservatively?
Correct Answer: A
Rationale: Daily lubrication prevents skin breakdown in arterial insufficiency, improving circulation.
Question 5 of 5
Which of the following indicates that the client with chronic obstructive pulmonary disease (COPD) who has been discharged to home understands his care plan?
Correct Answer: D
Rationale: Calling the physician for increased dyspnea on exertion shows understanding of when to seek help, a key part of COPD management. Pursed-lip breathing is helpful but less specific. Pain is not a primary COPD issue. High-flow oxygen (5 L/min) may suppress respiratory drive.