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Questions 149

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NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

Correct Answer: A

Rationale: Elevating the arm on pillows reduces edema and promotes lymphatic drainage post-mastectomy, aiding recovery.

Question 2 of 5

A 19-year-old female is admitted to the psychiatric floor after a suicide attempt 3 days ago. With client safety a priority, the nurse should

Correct Answer: A

Rationale: Placing the client near the nursing station allows close monitoring without isolation, balancing safety and autonomy. Constant staff presence is resource-intensive and not always necessary.

Question 3 of 5

What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

Correct Answer: A

Rationale: Glomerulonephritis often causes hypertension due to fluid retention and renal dysfunction.

Question 4 of 5

Which of the following statements regarding proper use of a cane is correct?

Correct Answer: B

Rationale: Downstairs, the cane and injured leg move first, followed by the good leg, ensuring stability. The cane is held opposite the injured side, with the elbow slightly bent, and reaches hip level.

Question 5 of 5

The nurse is caring for a client receiving pantoprazole. The nurse understands that long-term use of proton pump inhibitors increases the risk of which serious side effects? Select all that apply.

Correct Answer: D,E

Rationale: Long-term PPI use increases the risk of rhabdomyolysis and long bone fractures due to nutrient malabsorption and muscle damage. Nausea, depression, and constipation are less associated.

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