NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
What therapeutic outcome does the nurse expect for a client who has received a premedication of glycopyrrolate (Robinul)?
Correct Answer: C
Rationale: Glycopyrrolate is an anticholinergic that reduces salivary and respiratory secretions, improving airway management during surgery.
Question 2 of 5
A client with a spinal cord injury is at risk for pressure ulcers. Which nursing intervention is most effective?
Correct Answer: D
Rationale: Turning every 2 hours redistributes pressure, preventing ulcer formation in immobilized clients.
Question 3 of 5
A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 38.4°C; pulse 114; respirations 22; blood pressure 142/90. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the primary care provider for the client to receive:
Correct Answer: A
Rationale: Severe pain requires a potent analgesic. Hydromorphone I.V. (
A) provides rapid, effective pain relief. Diltiazem (
B) is for cardiac conditions, not pain. Meperidine (
C) is less preferred due to side effects, and promethazine (
D) is for nausea, not pain.
Question 4 of 5
A client with Ménière'sdisease continues to have disabling attacks of vertigo and elects to have a labyrinthectomy. A priority nursing diagnosis for the client before surgery is:
Correct Answer: B
Rationale: Risk for injury related to vertigo is the priority due to the high risk of falls and accidents during vertigo attacks, which is a significant concern pre-surgery.
Question 5 of 5
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.