Questions 150

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Best NCLEX RN Question Bank Questions

Extract:


Question 1 of 5

A client is admitted to the hospital in sickle cell crisis. For which clinical indicator should the nurse monitor the client?

Correct Answer: A

Rationale: Sickle cell crisis usually causes severe pain in the bones and joints along with joint swelling. The pain develops as a result of microvascular occlusion from abnormal sickled hemoglobin that occurs with hypoxia. Therapy includes pain management with opioid analgesics, supplemental oxygen, and intravenous fluids. The remaining options are not associated with sickle cell crisis.

Question 2 of 5

The nurse is instructing an unlicensed assistive personnel on the prevention of postoperative pulmonary complications. Which of the following statements indicates that the assistant has understood the nurse's instructions?

Correct Answer: D

Rationale: Deep breathing exercises hourly prevent atelectasis and promote lung expansion, key to preventing pulmonary complications.

Question 3 of 5

The nurse instructs the client who is taking gentamicin to monitor factors related to renal function. The nurse determines that the client needs additional instruction when he makes which of the following statements?

Correct Answer: D

Rationale: Gentamicin can cause nephrotoxicity, so monitoring for decreased urine output, dark urine, or edema (swelling) is appropriate. Fever is not directly related to renal function, indicating a need for further instruction.

Question 4 of 5

Select the client who is at greatest risk for the development of cancer.

Correct Answer: A

Rationale: Alcohol abuse is a known risk factor for several cancers, including liver, esophageal, and breast cancer, due to chronic inflammation and carcinogenic effects of alcohol metabolites.

Question 5 of 5

Which question is asked more than any other root cause analysis activity?

Correct Answer: B

Rationale: The 'Why?' question is central to root cause analysis, as it drives the investigation into the underlying causes of an event through techniques like the '5 Whys.'

Similar Questions

Following cardiac bypass surgery, the client has been referred to a cardiac rehabilitation exercise program. The client is a diabetic and has bilateral leg discomfort with walking. The nurse should advise the client to exercise using a stationary bicycle and intermittent training because of the client's:
The nurse is caring for a client with a history of chronic bronchitis who is prescribed theophylline (Theo-Dur). Which of the following symptoms indicates theophylline toxicity?
A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?
The nurse developing a plan of care for a postterm small-for-gestational-age (SGA) newborn should identify which assessment as the priority to monitor?
The nurse is assessing a client with suspected hypovolemic shock. Which finding is most indicative?

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