Questions 151

NCLEX-RN

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Question 1 of 5

A client with a history of type 1 diabetes is admitted with diabetic ketoacidosis. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Intravenous regular insulin is the priority to lower blood glucose and halt ketogenesis in diabetic ketoacidosis.

Question 2 of 5

The nurse is assessing a client with a suspected stroke. Which of the following findings is most indicative of a stroke?

Correct Answer: A

Rationale: Sudden unilateral weakness is a classic sign of stroke due to impaired blood flow to one side of the brain.

Question 3 of 5

On the night before a 58-year-old wife and mother is to have a lobectomy for lung cancer, she remarks to the nurse, 'I am so scared of this cancer. I should have quit smoking years ago. Now I've brought all this fear and sadness on myself and now my family.' The nurse should tell the client:

Correct Answer: D

Rationale: Acknowledging the client's fear and exploring specific concerns fosters therapeutic communication, helping address her emotions effectively.

Question 4 of 5

A client with a history of chronic lymphocytic leukemia is admitted with fatigue. The nurse should monitor the client for which of the following?

Correct Answer: A

Rationale: Chronic lymphocytic leukemia can cause anemia due to bone marrow suppression, leading to fatigue.

Question 5 of 5

The nurse is assessing a child admitted with a diagnosis of rheumatic fever. Which significant question should the nurse ask the child's parent during the assessment?

Correct Answer: C

Rationale: Rheumatic fever characteristically presents 2 to 6 weeks after an untreated or partially treated group A beta-hemolytic streptococcal infection of the respiratory tract. Initially the nurse determines whether any family member has had a sore throat or unexplained fever within the past few weeks. The remaining options are unrelated to the assessment findings of rheumatic fever.

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