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

Questions 149

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NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client is confused after receiving morphine for analgesia and repeatedly tries to pull out the intravenous (IV) line in her left arm. Which of the following actions is the best initial solution?

Correct Answer: A

Rationale: Camouflaging the IV and providing a safe alternative (
A) is a least-restrictive, non-invasive initial approach to prevent the client from pulling out the IV. Restraints (B,
C) should be a last resort, and discontinuing the IV (
D) is unnecessary.

Question 2 of 5

The nurse is performing a neurological assessment on a client. She asks the client to smile, close both eyes, and frown. Which cranial nerve (CN) is the nurse testing?

Correct Answer: B

Rationale: Cranial nerve VII (facial) controls facial movements like smiling, frowning, and closing eyes.

Question 3 of 5

When preparing a client for admission to the surgical suite, the nurse recognizes that which one of the following items is most important to remove before sending the client to surgery?

Correct Answer: B

Rationale: Contact lenses must be removed before surgery to prevent corneal damage or injury under anesthesia, especially if electrocautery is used, which could cause burns if foreign objects are present in the eyes.

Question 4 of 5

Which client is at the greatest risk of developing colon cancer?

Correct Answer: C

Rationale: Previous cancer history, especially treated with chemotherapy, increases colon cancer risk due to potential genetic or environmental factors. Age over 50 also elevates risk.

Question 5 of 5

The nurse enters the client's room and smells cigarette smoke. When confronted, the client says, 'I only smoked one cigarette because I was having a bad craving.' Which action by the nurse is most appropriate?

Correct Answer: C

Rationale: Reminding the client of the danger of smoking near oxygen and hospital policy addresses safety and compliance immediately.

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