Questions 107

NCLEX-RN

NCLEX-RN Test Bank

Basic Adult Health Care NCLEX Questions Questions

Extract:


Question 1 of 5

Which intervention is most effective for a client with MS-related vision impairment?

Correct Answer: B

Rationale: Large-print materials support clients with MS-related vision impairment by improving readability.

Question 2 of 5

A client is recovering from an abdominal-perineal resection. Which of the following measures would most effectively promote wound healing after the perineal drains have been removed?

Correct Answer: A

Rationale: Sitz baths promote wound healing by improving circulation, reducing inflammation, and keeping the perineal area clean after an abdominal-perineal resection. Moist heat packs, irrigations, or packing are less effective or not standard for this purpose. CN: Physiological adaptation; CL: Synthesize

Question 3 of 5

A client with malignant pleural effusions is complaining of dyspnea and chest pain. Place the following interventions that the nurse should perform in the correct order of priority.

Order the Items

Source Container

Administer morphine sulfate 2 mg I.V.
Apply oxygen at 2 L via nasal cannula.
Educate the client in anticipation of a thoracentesis.
Coach the client on deep breathing exercise.

Correct Answer: B,A,C,D

Rationale: Oxygen (
B) addresses immediate hypoxia, morphine (
A) relieves pain and dyspnea, education for thoracentesis (
C) prepares for definitive treatment, and deep breathing (
D) supports respiratory function.

Question 4 of 5

A client has a tibial fracture that required casting. Approximately 5 hours later, the client has increasing pain distal to the left tibial fracture despite the morphine injection administered 30 minutes previously. Which of the following should be the nurse's next assessment?

Correct Answer: A

Rationale: Increasing pain despite analgesia suggests compartment syndrome; checking the distal pulse assesses for vascular compromise.

Question 5 of 5

A client with suspected gastric cancer undergoes an endoscopy of the stomach. Which of the following assessments made after the procedure would indicate the development of a potential complication?

Correct Answer: C

Rationale: A sudden increase in temperature post-endoscopy may indicate a complication such as perforation or infection, requiring immediate assessment. Sore throat, sedation, and lack of appetite are expected or unrelated findings.

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