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

The client is prescribed alendronate (Fosamax) for osteoporosis. Which instruction should the nurse include?

Correct Answer: A

Rationale: Alendronate should be taken with a full glass of water on an empty stomach, and the client should remain upright for 30 minutes to prevent esophageal irritation. Meals and lying down reduce absorption.

Question 3 of 5

To facilitate maximum air exchange, the nurse should position the client in:

Correct Answer: B

Rationale: The orthopneic position is a sitting position that allows maximum lung expansion.

Question 4 of 5

The registered nurse is making assignments for the day. Which client should be assigned to the nurse who is pregnant?

Correct Answer: D

Rationale: Valganciclovir for cytomegalovirus poses minimal risk to a pregnant nurse as it is not teratogenic and standard precautions suffice. Pentamidine ribavirin and radium implants carry higher risks due to potential teratogenicity or radiation exposure.

Question 5 of 5

The doctor has ordered a restricted fluid intake for a 2-year-old child with a head injury. Normal fluid intake for a child of 2 years is:

Correct Answer: C

Rationale: Normal intake for a child of 2 years is about 1600 mL in 24 hours.

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