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

Questions 149

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Extract:


Question 1 of 5

A client on a 72-hour psychiatric hold experiences a panic attack while getting ready for the day. The nurse should provide the following interventions ranked by priority:

Correct Answer: A,D,C,E,B

Rationale: Priority order: Stay with the client (
A) for safety, reduce stimuli (
D) to calm the environment, instruct deep breathing (
C) to manage symptoms, develop coping mechanisms (E) for future prevention, and incorporate physical activity (
B) as a long-term strategy.

Question 2 of 5

A client with rheumatoid arthritis tells the nurse that she is having increasing difficulty cooking, cleaning, and attending to activities of daily living. Which of the following referrals is the most appropriate?

Correct Answer: A

Rationale: An occupational therapist (
A) helps clients with rheumatoid arthritis adapt to difficulties with daily activities through adaptive techniques and equipment. Physical therapy (
B), home health (
C), or assisted living (
D) may be secondary.

Question 3 of 5

A client with a deep decubitus ulcer is receiving therapy in the hyperbaric oxygen chamber. Before therapy, the nurse should:

Correct Answer: B

Rationale: Washing the skin with water and patting dry ensures cleanliness and prevents irritation during hyperbaric oxygen therapy.

Question 4 of 5

A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?

Correct Answer: B

Rationale: Pulling a toy is consistent with an 18-month-old's developmental level, supporting the assessment.

Question 5 of 5

A client diagnosed with hemophagocytic lymphohistiocytosis requires multiple blood transfusions. One of his family members wishes to donate blood. Which of the following conditions would DISQUALIFY someone from donating blood?

Correct Answer: C

Rationale: Current illness (e.g., cold) disqualifies blood donation due to infection risk. Hyperthyroidism, postpartum (after 6 months), and treated TB (if fully recovered) may not disqualify.

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