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

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions

Extract:


Question 1 of 5

A client with suspected leukemia is to undergo a bone marrow aspiration. The nurse plans to include which statement in the teaching session?

Correct Answer: B

Rationale: Bone marrow aspiration can cause pain or discomfort during needle insertion and aspiration. Informing the client prepares them for the procedure and helps manage expectations.

Question 2 of 5

The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?

Correct Answer: C

Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.

Question 3 of 5

The physician has ordered lab work for a client with suspected disseminated intravascular coagulation (DIC). Which lab finding would provide a definitive diagnosis of DIC?

Correct Answer: C

Rationale: Fibrin split products (FSPs) are specific to DIC, indicating widespread clotting and fibrinolysis, confirming the diagnosis.

Question 4 of 5

The nurse is reviewing labs on a client receiving IV heparin and notes an INR of 4.6. Which order by the health care provider does the nurse anticipate?

Correct Answer: B

Rationale: Protamine sulfate is the antidote for heparin overdose, appropriate for an elevated INR indicating excessive anticoagulation.

Question 5 of 5

After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?

Correct Answer: B

Rationale: Pityriasis rosea is a potentially contagious rash, warranting a private room to prevent spread. The other conditions are not infectious.

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