NCLEX-RN
Adult Health Med Surg NCLEX Test Bank Questions
Extract:
Question 1 of 5
Which of the following characteristics would put a client at the greatest risk for impaired wound healing after abdominal surgery?
Correct Answer: B
Rationale: Poorly controlled diabetes impairs wound healing due to high glucose levels affecting immune response and tissue repair, posing a greater risk than age or other conditions listed.
Question 2 of 5
The nurse is teaching a client about managing osteoarthritis pain. Which non-pharmacologic intervention should be included?
Correct Answer: D
Rationale: Gentle range-of-motion exercises maintain joint mobility and reduce stiffness in osteoarthritis.
Question 3 of 5
A nurse is teaching a client about taking antihistamines. Which of the following instructions should the nurse include in the teaching plan? Select all that apply.
Correct Answer: A,D,E
Rationale: Antihistamines have an anticholinergic action and a drying effect and reduce nasal, salivary, and lacrimal gland hypersecretion (runny nose, tearing, and itching eyes). An adverse effect is drowsiness, so operating machinery and driving are not recommended. There is also an additive depressant effect when alcohol is combined with antihistamines, so alcohol should be avoided during antihistamine use. The client should ensure adequate fluid intake of at least 8 glasses per day due to the drying effect of the drug.
Question 4 of 5
Which of the following signs and symptoms would probably indicate that the client with Addison's disease is receiving too much glucocorticoid replacement?
Correct Answer: C
Rationale: Rapid weight gain indicates fluid retention, a sign of excessive glucocorticoid replacement.
Question 5 of 5
After the administration of t-PA, the assessment priority is to:
Correct Answer: A
Rationale: Monitoring for chest pain post-t-PA assesses for reperfusion success or reocclusion, a priority to ensure effective thrombolysis and myocardial perfusion.