NCLEX-RN
Basic Adult Health Care NCLEX Questions Questions
Extract:
Question 1 of 5
Which of the following positions would be appropriate for a client with severe ascites?
Correct Answer: A
Rationale: Fowler's position (
A) elevates the head, reducing diaphragm pressure from ascites and aiding breathing. Side-lying (
B), Reverse Trendelenburg (
C), and Sims (
D) are less effective.
Question 2 of 5
The nurse monitors the client with pancreatitis for early signs of shock. Which of the following conditions is primarily responsible for making it difficult to manage shock in pancreatitis?
Correct Answer: B
Rationale: Fluid sequestration into the retroperitoneal space (
B) causes significant hypovolemia in pancreatitis, complicating shock management. Intestinal hemorrhage (
A), infection (
C), and cardiac output (
D) are secondary or less common contributors.
Question 3 of 5
The nurse assesses that the client with hepatitis is experiencing fatigue, weakness, and a general feeling of malaise. The client tires rapidly during morning care. Based on this information, which of the following would be an appropriate nursing diagnosis?
Correct Answer: D
Rationale: Activity intolerance related to fatigue (
D) accurately reflects the client's rapid tiring due to hepatitis. Impaired mobility (
A), self-care deficit (
B), and ineffective coping (
C) are less directly supported by the symptoms described.
Question 4 of 5
A 34-year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following? Select all that apply.
Correct Answer: B,C,D,E,F
Rationale: Hypothyroidism slows metabolism, leading to decreased energy, fatigue, weight gain, hair loss, constipation, and heavy menstrual periods (menorrhagia). Rapid pulse is associated with hyperthyroidism, not hypothyroidism.
Question 5 of 5
When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which of the following changes in the menstrual cycle?
Correct Answer: C
Rationale: Thyrotoxicosis increases metabolism, which can lead to decreased menstrual flow or oligomenorrhea (infrequent menstruation). Dysmenorrhea (painful periods), metrorrhagia (irregular bleeding), and menorrhagia (heavy bleeding) are less commonly associated with thyrotoxicosis.