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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

A home health nurse has several elderly clients in her case load. Which of the following clients is most likely to be a victim of elder abuse?

Correct Answer: A

Rationale: Clients with Alzheimer's disease are at higher risk for elder abuse due to cognitive impairment, dependency, and potential behavioral challenges, which can strain caregivers.

Question 2 of 5

A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.

Question 3 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).

Question 4 of 5

A primigravida, age 42, is 6 weeks pregnant. Based on the client's age, her infant is at risk for:

Correct Answer: A

Rationale: Advanced maternal age (over 35) increases the risk of Down syndrome in the fetus.

Question 5 of 5

The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?

Correct Answer: A

Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. The other medications are less critical.

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