NCLEX-RN
Basic Adult Health Care NCLEX Heart Questions Questions
Extract:
Question 1 of 5
Which of the following would indicate that a client with asthma is experiencing status asthmaticus?
Correct Answer: C
Rationale: Status asthmaticus, a life-threatening asthma exacerbation, is indicated by diminished breath sounds bilaterally due to severe airway obstruction. Wheezing, accessory muscle use, and productive cough are present in asthma but not specific to status asthmaticus.
Question 2 of 5
Which of the following is the most common initial manifestation of acute renal failure?
Correct Answer: D
Rationale: Oliguria, reduced urine output, is the most common initial sign of acute renal failure due to impaired kidney filtration.
Question 3 of 5
Which of the following nursing interventions would promote effective airway clearance in a client with acute respiratory distress?
Correct Answer: D
Rationale: Suctioning clears secretions when coughing is ineffective in ARDS, maintaining airway patency. Oxygen delivery, turning, and sedatives are supportive but less direct for airway clearance.
Question 4 of 5
A client who has undergone a mastectomy is worried about her body image and its impact on her sexual relationship. The nurse should suggest:
Correct Answer: A
Rationale: Wearing a prosthesis can help the client feel more confident about her body image during intimate moments, supporting her sexual relationship.
Question 5 of 5
A client who has been given cardiopulmonary resuscitation (CPR) is transported by ambulance to the hospital's emergency department, where the admitting nurse quickly assesses the client's condition. The most effective way to determine the effectiveness of CPR is noting whether the:
Correct Answer: D
Rationale: A systolic blood pressure of at least 80 mm Hg indicates effective CPR, as it reflects adequate circulation and perfusion.