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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

Correct Answer: A

Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.

Question 2 of 5

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?

Correct Answer: D

Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.

Question 3 of 5

A nurse is working with an immobile client and doing passive range-of-motion (ROM) exercises on his legs. The client states the exercise is too painful and does not want to continue. The nurse should

Correct Answer: D

Rationale: Pain during ROM exercises may indicate injury. Stopping the exercise prevents harm, with further assessment or pain management to follow.

Question 4 of 5

A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to

Correct Answer: C

Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.

Question 5 of 5

A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?

Correct Answer: B

Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.

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