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Adult Health Med Surg NCLEX Test Bank Questions

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Question 1 of 5

Which of the following should the nurse include in the teaching plan for a client with arterial insufficiency to the feet that is being managed conservatively?

Correct Answer: A

Rationale: Daily lubrication prevents skin breakdown in arterial insufficiency, improving circulation.

Question 2 of 5

Which activity increases the risk of renal calculi?

Correct Answer: B

Rationale: A sedentary lifestyle promotes urinary stasis, increasing stone risk.

Question 3 of 5

A 38-year-old male client with testicular cancer is concerned about his fertility after treatment. The nurse should inform him about:

Correct Answer: A

Rationale: Sperm banking before treatment is a proactive option for preserving fertility, as testicular cancer treatments like chemotherapy or surgery may impair sperm production.

Question 4 of 5

A 48-year-old client with cancer has been receiving 10 mg of I.V. morphine while hospitalized. In control, the nurse should administer which of the following doses of oral morphine?

Correct Answer: B

Rationale: The equianalgesic conversion from 10 mg I.V. morphine to oral morphine (1:3 ratio) is 30 mg, as oral morphine has lower bioavailability due to first-pass metabolism.

Question 5 of 5

The nurse is caring for a client who has just had an ankle-brachial index (ABI) test. The left arm blood pressure was 160/80 mm Hg and a palpable systolic blood pressure of the left lower extremity was 130/60 mm Hg. These findings suggest that the client has:

Correct Answer: A

Rationale: ABI = ankle systolic BP ÷ arm systolic BP = 130 ÷ 160 = 0.81. An ABI of 0.8–0.9 indicates mild peripheral artery disease, suggesting some arterial narrowing. Normal ABI is 0.9–1.3, moderate is 0.5–0.8, and severe is <0.5.

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