Questions 107

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Basic Adult Health Care NCLEX Heart Questions Questions

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Question 1 of 5

Which of the following is the priority for a client in addisonian crisis?

Correct Answer: B

Rationale: Addisonian crisis is a life-threatening condition requiring urgent intervention to prevent irreversible shock due to adrenal insufficiency.

Question 2 of 5

Twenty-four hours after a bone marrow aspiration, the nurse evaluates which of the following as an appropriate client outcome?

Correct Answer: D

Rationale: A successful outcome 24 hours after bone marrow aspiration is no bleeding at the site, indicating proper healing and no complications. Bed rest is not required, redness/swelling suggests infection, and morphine requests indicate uncontrolled pain, which is not expected.

Question 3 of 5

On the evening of surgery for total knee replacement, a client wants to get out of bed. To safely assist the client the nurse should do which of the following?

Correct Answer: D

Rationale: A knee immobilizer ensures stability and safety during initial transfers post-surgery.

Question 4 of 5

In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. The nurse should assess the client further for six years of:

Correct Answer: B

Rationale: Groin and bladder pain in renal calculi often indicate referred pain from the stone's movement or irritation along the urinary tract.

Question 5 of 5

The family of a client in hospice asks about stopping oral feedings. The nurse should explain that:

Correct Answer: A

Rationale: Stopping oral feedings in hospice can reduce discomfort from fluid overload or aspiration, aligning with comfort-focused care.

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Which outcome is appropriate for a client with a traumatic brain injury?
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A nurse is admitting a client who has been admitted with a diagnosis of upper GI bleeding to the hospital. The nurse should assess the client for which of the following? Select all that apply.

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