NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 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 2 of 5
The nurse interviews a 22-year-old female client who is scheduled for abdominal surgery the following week. The client is obese and uses estrogen-based oral contraceptives. This client is at high risk for development of:
Correct Answer: D
Rationale: Obesity and estrogen-based oral contraceptives increase the risk of thrombophlebitis by promoting hypercoagulability and venous stasis, especially during surgery. Atherosclerosis, diabetes, and Raynaud's are less directly related to these risk factors.
Question 3 of 5
A client is beginning external beam radiation therapy to the right axilla after a lumpectomy for breast cancer. Which of the following should the nurse include in client teaching?
Correct Answer: C
Rationale: Applying deodorant only under the left arm avoids irritation to the radiated right axilla, which is sensitive and prone to skin reactions during treatment.
Question 4 of 5
A client with type 1 diabetes mellitus has influenza. The nurse should instruct the client to:
Correct Answer: A
Rationale: Influenza can increase blood glucose levels due to stress and illness, requiring more frequent monitoring to adjust insulin doses.
Question 5 of 5
A client is about to undergo bone marrow aspiration of the sternum. Which of the following statements should the nurse include to provide information to the client about what the client will feel during the procedure?
Correct Answer: C
Rationale: During sternal bone marrow aspiration, the client may feel a brief pulling or pressure sensation as the marrow is aspirated. The antiseptic solution is not applied over such a large area, local anesthetic is injected (not sprayed), and a bandage is applied to the site, not around the chest.