Questions 151

NCLEX-RN

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Question 1 of 5

A client being treated for a comminuted fractured tibia asks the nurse to explain what a comminuted fracture means. The nurse should give which response?

Correct Answer: C

Rationale: A comminuted fracture is a complete fracture across the shaft of a bone, with splintering of the bone into fragments. A simple fracture is a fracture of the bone across its entire shaft with some possible displacement but without breaking the skin. A greenstick fracture is an incomplete fracture, which occurs through part of the cross section of a bone. One side of the bone is fractured, and the other side is bent. A compound fracture, also called an open fracture, is one in which the skin or mucous membrane has been broken, and the wound extends to the depth of the fractured bone.

Question 2 of 5

A client with a history of epilepsy is admitted with status epilepticus. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Lorazepam is the priority to stop seizures in status epilepticus.

Question 3 of 5

A client with a diagnosis of Cushing's syndrome is prescribed ketoconazole. The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Ketoconazole can cause liver toxicity, requiring regular monitoring of liver function tests.

Question 4 of 5

The nurse instructs the unlicensed assistive personnel on how to collect a 24-hour urine specimen. Which of the following instructions is correct for a collection that is scheduled to start at 7 a.m. Monday and end at 7 a.m. Tuesday?

Correct Answer: C

Rationale: The 24-hour collection includes all urine from after the 7 a.m. Monday void (discarded) to the 7 a.m. Tuesday void (included).

Question 5 of 5

Which statement about automated external defibrillators is accurate?

Correct Answer: D

Rationale: AEDs are designed for use by laypersons with minimal training, making them accessible for public use in emergencies.

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