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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Tests Questions

Extract:


Question 1 of 5

A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

Correct Answer: B

Rationale: Phantom limb pain results from peripheral nervous system interruptions, and offering pain medication addresses the client's discomfort appropriately.

Question 2 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 3 of 5

Which of the following medication orders requires clarification before the nurse can administer the order?

Correct Answer: B

Rationale: Heparin dosing (30 units/kg/hr) is unusually low for anticoagulation (typically 10-20 units/kg/hr). This requires clarification to ensure safety.

Question 4 of 5

The nurse is planning care for the patient with celiac disease. In teaching about the diet, the nurse should instruct the patient to avoid which of the following for breakfast?

Correct Answer: A

Rationale: Puffed wheat contains gluten, which must be avoided in celiac disease to prevent intestinal damage.

Question 5 of 5

The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:

Correct Answer: D

Rationale: Squeezing a ball is a gentle initial exercise to restore arm mobility.

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