NCLEX-RN
Health Promotion and Maintenance NCLEX RN Questions Questions
Extract:
Question 1 of 5
Which of the following statements best describes compartment syndrome?
Correct Answer: B
Rationale: Compartment syndrome is characterized by swelling and increased pressure within a muscle compartment, leading to decreased blood flow and oxygen supply to nerves and muscles. This can result from various causes, such as trauma or the application of a cast after a fracture. If left untreated, compartment syndrome can lead to tissue necrosis.
Choice A is incorrect as pain and tingling starting in the buttock and traveling down the leg are not specific features of compartment syndrome.
Choice C is incorrect as permanent flexion of the interphalangeal joint is unrelated to compartment syndrome.
Choice D is incorrect as pain and swelling of the median plantar nerve do not describe compartment syndrome.
Question 2 of 5
The nurse has completed teaching with a hemodialysis client regarding the self-monitoring of the fluid status between hemodialysis treatments. The nurse determines that the client understands the information given if the client states the need to record which item(s) on a daily basis?
Correct Answer: C
Rationale: Recording daily intake, output, and weight helps monitor fluid status, ensuring no more than 0.5 kg weight gain per day between hemodialysis sessions. Activity, pulse, respiratory rate, and lab values are not daily client responsibilities.
Question 3 of 5
A client with a history of depression will be participating in cognitive therapy for health maintenance. The client asks the nurse, 'How does this treatment work?' Which statement is most appropriate for the nurse to make to the client?
Correct Answer: D
Rationale: Cognitive therapy is frequently used with clients who have depression. This type of therapy is based on exploring the client's personal experience. It includes examining the client's thoughts and feelings about situations and how these thoughts and feelings contribute to and perpetuate the client's difficulties and mood. The development of new coping skills, gradually confronting fears, and reviewing one's past life in relation to your current problems are not characteristics of cognitive therapy.
Question 4 of 5
Two basic but important risk factors for testicular cancer are which of the following?
Correct Answer: A,B
Rationale: Two basic but important risk factors for testicular cancer are race and age. The incidence of testicular cancer is four times higher among white males than black males. It is the most common type of cancer to occur in males between the ages of 15 and 34 years. Other risk factors include a history of an undescended testis and a family history of testicular cancer. Marital status and the number of children are not risk factors for testicular cancer.
Question 5 of 5
While caring for a client who has just come from surgery and is in the recovery room with an endotracheal tube in place, the nurse deflates the cuff on the tube and removes it. The client sits up in bed, grasps his throat, and begins to make wheezing sounds. Which of the following conditions is the most likely cause of this situation?
Correct Answer: D
Rationale: After surgery, some clients may experience a laryngospasm during emergence from anesthesia. A laryngospasm can lead to the closure of the laryngeal opening due to spasm of the vocal cords. In this scenario, the client's symptoms of wheezing and throat grasping are indicative of a laryngospasm rather than choking on the tube, anxiety, or a normal response from anesthesia. The nurse should act promptly to open the airway to aid breathing and consider administering muscle relaxants as necessary.