NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following clients is expected to retain anesthetic agents longest?
Correct Answer: C
Rationale: The client with higher body fat (5'1', 200 lb) is likely to retain lipophilic anesthetic agents longer, as these drugs accumulate in adipose tissue, delaying elimination.
Question 2 of 5
The postoperative nursing assessment of a client's ability to swallow fluids before providing oral fluids is based on the type of anesthesia given. Which of the following clients would not have delayed fluid restrictions?
Correct Answer: A,C
Rationale: Local anesthesia (bronchoscopy, carpal tunnel repair) does not affect swallowing reflexes, so fluids are not delayed. General or spinal anesthesia (B,
D) impairs swallowing, requiring delayed fluid intake.
Question 3 of 5
A nurse is assessing a surgical client's blood pressure 8 hours after surgery. The client's blood pressure before surgery was 120/80 mm Hg and on admission to the postsurgical nursing unit, it was 110/80 mm Hg. The client's blood pressure is now 90/70 mm Hg. What should the nurse do first?
Correct Answer: B
Rationale: A drop to 90/70 mm Hg suggests hypovolemia, likely from bleeding. Checking the dressing for bleeding is the first step to identify the cause before further interventions.
Question 4 of 5
The client's identification armband was removed to start an I.V. line as a part of the preoperative preparation. The transport team has arrived to transport the client to the operating room. The nurse notices that the client's identification band is not on his wrist. What is the nurse's best response?
Correct Answer: B
Rationale: Placing a new identification armband ensures accurate client identification during transport and surgery, maintaining safety and compliance with protocol.
Question 5 of 5
The client has had a cataract removed. The nurse's discharge instructions should include which of the following?
Correct Answer: C
Rationale: Using an eye shield at night prevents rubbing the eye. The head should be turned to the side to scan the entire visual field to compensate for impaired peripheral vision. Eye medications may initially cause sensitivity to bright light. The surgeon changes the eye patch on the second postoperative day.