NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
Which assessment finding is expected in the oliguric phase of acute renal failure?
Correct Answer: A
Rationale: Weight gain occurs due to fluid retention in the oliguric phase.
Question 2 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 3 of 5
A 75-year-old client who has been taking furosemide (Lasix) regularly for 4 months tells the nurse that he is having trouble hearing. What would be the nurse's best response to this statement?
Correct Answer: B
Rationale: Furosemide can cause ototoxicity, leading to hearing loss. The nurse should advise the client to report this to the physician promptly for further evaluation and management.
Question 4 of 5
After surgery for bilateral adrenalectomy, the client is kept on bed rest for several days to stabilize the body's need for steroids postoperatively. Which of the following exercises will be most effective for preparing a client for ambulation after a period of bed rest?
Correct Answer: A
Rationale: Knee flexion and extension strengthen leg muscles, preparing the client for ambulation after bed rest.
Question 5 of 5
The nurse is preparing a client for a bone scan to evaluate bone health. Which instruction is appropriate?
Correct Answer: B
Rationale: Drinking water post-scan helps flush the radioactive tracer used in a bone scan.