NCLEX Questions, NCLEX RN Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is

Correct Answer: B

Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.

Question 2 of 5

Place the steps for an abdominal assessment in the correct order.

Order the Items

Source Container

auscultation
palpation
inspection
percussion

Correct Answer: C,A,D,B

Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).

Question 3 of 5

A nurse on the medical floor notices an increase in urinary tract infections (UTIs) among clients with indwelling urinary catheters. He records the findings and works with the unit manager and another nurse to develop a UTI risk assessment tool. Which is the correct description of the nurse's actions?

Correct Answer: D

Rationale: Developing a UTI risk assessment tool to reduce infections is a quality improvement initiative aimed at enhancing patient care outcomes.

Question 4 of 5

The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?

Correct Answer: C

Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.

Question 5 of 5

A nurse manager and a case manager are talking to a group of new nurses about the differences of case management and care coordination. The nurse manager understands which to be true regarding the differences?

Correct Answer: C

Rationale: Case management focuses on holistic care and client-family dynamics, coordinating resources to meet complex needs. Other options are less accurate or incomplete.

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