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Questions 158

NCLEX-RN

NCLEX-RN Test Bank

NCLEX-RN Exam Questions

Extract:


Question 1 of 5

A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:

Correct Answer: A

Rationale: Both a benign and a malignant tumor can displace or destroy nearby structures or increase intracranial pressure.

Question 2 of 5

A client undergoes a transurethral resection, prostate (TURP). He returns from surgery with a three-way continuous Foley irrigation of normal saline in progress. The purpose of this bladder irrigation is to prevent:

Correct Answer: B

Rationale: A three-way system of bladder irrigation will cleanse the bladder and prevent formation of blood clots. A catheter obstructed by clots or other debris will cause prostatic distention and hemorrhage.

Question 3 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment.

Question 4 of 5

A female client with major depression stated that 'life is hopeless and not worth living.' The nurse should place highest priority on which of the following questions?

Correct Answer: B

Rationale: Maintenance of the client's life is the priority; assessment of suicidal intent is imperative.

Question 5 of 5

Painless vaginal bleeding in the last trimester may be caused by:

Correct Answer: C

Rationale: Placenta previa causes painless vaginal bleeding due to the low-lying placenta separating from the uterine wall.

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