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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A client with cancer is experiencing a common side effect of chemotherapy administration. Which laboratory assessment finding would cause the most concern?

Correct Answer: C

Rationale: A platelet count of 100,000/mm^3 indicates thrombocytopenia, a common chemotherapy side effect, increasing bleeding risk and requiring close monitoring.

Question 2 of 5

A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

Correct Answer: D

Rationale: Allowing 24 hours for the cast to dry prevents damage and ensures proper immobilization.

Question 3 of 5

The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?

Correct Answer: C

Rationale: Myasthenia gravis causes muscle weakness, including respiratory muscles, making ineffective airway clearance the priority due to risk of respiratory failure.

Question 4 of 5

The client is admitted from the emergency room with multiple injuries sustained from an auto accident. His doctor prescribes a histamine blocker. The nurse is aware that the reason for this order is to:

Correct Answer: C

Rationale: Histamine blockers (e.g., famotidine) are used post-trauma to prevent stress ulcers due to increased gastric acid production.

Question 5 of 5

Place the steps for an abdominal assessment in the correct order.

Order the Items

Source Container

auscultation
palpation
inspection
percussion

Correct Answer: C,A,D,B

Rationale: Abdominal assessment order: inspection (visual assessment), auscultation (bowel sounds before manipulation), percussion (assess density), palpation (last to avoid altering bowel sounds).

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