NCLEX-RN
Basic Adult Health Care NCLEX Questions 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
When preparing a client for discharge from the hospital after a total knee replacement, the nurse should include which of the following information in the discharge plan? Select all that apply.
Correct Answer: A
Rationale: Reporting infection signs is critical to prevent complications. Elevating the leg when sitting and keeping stockings on reduce swelling and thrombosis risk.
Question 3 of 5
A 60-year-old female with chronic cancer pain has been receiving opiates for 4 months. She rated her pain as an 8 on a 10-point scale before starting the opioid medication. She has just had a thorough examination with no new evidence of increased disease, yet her pain is close to 8 again. The most likely explanation for her increasing pain is:
Correct Answer: B
Rationale:
Tolerance to opioids is the most likely explanation, as the body adapts to the medication over time, reducing its effectiveness and requiring a dose adjustment.
Question 4 of 5
Which finding indicates a properly functioning ileal conduit?
Correct Answer: B
Rationale: Mucus in the urine is normal due to the intestinal segment used in the conduit.
Question 5 of 5
A client with disseminated intravascular coagulation develops ventricular microvascular thrombosis. The nurse should assess the client for:
Correct Answer: B
Rationale: Microvascular thrombosis in DIC can cause focal ischemia by obstructing small vessels, leading to tissue damage in organs like the kidneys or brain. Hemoptysis, petechiae, and hematuria are related to bleeding, not thrombosis.