Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

A 13-year-old client is dying of cancer and struggling with the emotional aspects of this. When providing care for this client, the nurse should incorporate the developmental tasks for this age. According to Erikson's developmental model, the child normally is expected to be working on which of the following psychosocial issues?

Correct Answer: A

Rationale: Adolescents (ages 12–18) focus on identity vs. role confusion, developing a sense of self and personal identity.

Question 2 of 5

Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?

Correct Answer: D

Rationale: Diphenhydramine (Benadryl) is commonly used off-label for sleep due to its sedative effects, making it an appropriate choice if ordered for this purpose.

Question 3 of 5

You are working in a community pediatric health clinic. Which expected life transition should you apply into your practice for these pediatric clients as you are caring for pediatric clients of all ages?

Correct Answer: B

Rationale: Puberty is a significant life transition for pediatric clients, particularly adolescents, and is relevant across the age range in a pediatric clinic. It involves physical, emotional, and social changes that nurses should consider in their practice.

Question 4 of 5

Which sound should you expect to hear when you percuss the liver during a complete physical assessment?

Correct Answer: D

Rationale: The liver, a solid organ, produces a dull sound when percussed, as opposed to the tympanic sound of air-filled structures or the resonant sound of lung tissue.

Question 5 of 5

The nurse is discharging a client who has been hospitalized for preterm labor. The client needs further instruction when she says:

Correct Answer: D

Rationale: Clients with preterm labor should get out of the car every 1-2 hours to promote circulation and prevent complications, not every 4 hours, indicating a need for further instruction.

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