NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
Which of the following activities should the nurse teach the client to implement after the removal of nasal packing on the second postoperative day?
Correct Answer: B
Rationale: Applying water-soluble jelly lubricates the nares, preventing crusting and discomfort post-packing removal. Cleaning is safe once packing is removed. A drip pad is unnecessary unless bleeding persists. Irrigation with a bulb syringe is not standard care.
Question 2 of 5
A client with acute renal failure has a potassium level of 6.5 mEq/L. The nurse should prepare for:
Correct Answer: A
Rationale: Insulin and glucose shift potassium into cells, treating hyperkalemia.
Question 3 of 5
Which of the following clinical manifestations does the nurse most likely observe in a client with Hodgkin's disease?
Correct Answer: B
Rationale: Hodgkin's disease typically presents with painless, enlarged cervical lymph nodes, often the first sign noticed. Difficulty swallowing, breathing, or liver fullness are less common or occur later.
Question 4 of 5
The nurse should plan to begin rehabilitation efforts for the burn client:
Correct Answer: B
Rationale: Rehabilitation begins after stabilizing the client's circulatory status (emergent phase), as this ensures survival and allows focus on recovery. Immediate rehab is unsafe, and complete pain elimination is unrealistic.
Question 5 of 5
A client is being monitored for transient ischemic attacks. She is oriented, can open her eyes spontaneously, and follows commands. What is her Glasgow Coma Scale score?
Correct Answer: 15
Rationale: The Glasgow Coma Scale assesses eye opening (4 for spontaneous), verbal response (5 for oriented), and motor response (6 for following commands). The client's score is 4 + 5 + 6 = 15.