NCLEX Questions, NCLEX RN Nursing Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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NCLEX RN Nursing Exam Questions

Extract:


Question 1 of 5

A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:

Correct Answer: C

Rationale: Pain management is a priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy due to the surgical incision and tissue trauma, which can cause significant discomfort. Effective pain control is essential to promote recovery and patient comfort.

Question 2 of 5

A client with a history of breast cancer is admitted with complaints of fatigue. The nurse should give priority to:

Correct Answer: A

Rationale: Fatigue in breast cancer may indicate anemia, so monitoring for anemia is the priority.

Question 3 of 5

To correctly assess the oxygen saturation level of an adult client, the pulse oximeter should not be placed on the:

Correct Answer: C

Rationale: A pulse oximeter should not be placed on an extremity with a blood pressure cuff, as cuff inflation can interrupt blood flow and cause inaccurate readings. Fingers, earlobes, and the nose are acceptable sites when circulation is adequate.

Question 4 of 5

An adolescent client hospitalized with anorexia nervosa is described by her parents as 'the perfect child.' When planning care for the client, the nurse should:

Correct Answer: B

Rationale: Anorexia nervosa is often linked to issues of control and identity; activities fostering self-identity help address underlying psychological factors.

Question 5 of 5

The mother of a child with chickenpox wants to know if there is a medication that will shorten the course of the illness. Which medication is sometimes used to speed healing of the lesions and shorten the duration of fever and itching?

Correct Answer: A

Rationale: Acyclovir (Zovirax) is an antiviral that can reduce the severity and duration of chickenpox symptoms, including lesions, fever, and itching.

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