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

Questions 149

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Question 1 of 5

A client is 4 hours post-op left carotid endarterectomy. Which assessment finding would cause the nurse the most concern?

Correct Answer: C

Rationale: Right-sided weakness post-left carotid endarterectomy suggests a neurological deficit, possibly from stroke or hematoma, requiring immediate intervention.

Question 2 of 5

The nurse is caring for a client who is postoperative day 2 following a total knee replacement. The client reports pain at the surgical site and has a temperature of 100.8°F (38.2°C). Which of the following actions should the nurse take FIRST?

Correct Answer: D

Rationale: assessing the surgical site for signs of infection is the first step to determine the cause of the fever and pain

Question 3 of 5

The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

Correct Answer: B

Rationale: main cause of asthma is inhaled allergens (animal dander, mold, pollen, dust), would expose child to pollen and dust from leaves

Question 4 of 5

In caring for a critically ill client with a nasogastric tube (NGT) for enteral feeding, which action by the nurse demonstrates competency in NGT care? Select all that apply.

Correct Answer: A, C, E

Rationale: Checking residuals for continuous and bolus feedings and returning residuals (unless >250 mL) are standard. Low Fowler’s increases aspiration risk, and tubing change frequency varies by policy.

Question 5 of 5

A pneumonectomy is performed on a client with lung cancer. Which of the following would probably be omitted from the client's plan of care?

Correct Answer: A

Rationale: After a pneumonectomy, the affected lung is removed, and the pleural space fills with fluid naturally, so closed chest drainage is typically not used, unlike in other lung surgeries.

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