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

Questions 158

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Extract:


Question 1 of 5

A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:

Correct Answer: D

Rationale: This activity would allow the client to channel his energy in a positive way, suitable for his hyperactive state and limited attention span.

Question 2 of 5

The nurse is teaching a client with a history of osteoarthritis about exercise. The nurse should tell the client to:

Correct Answer: A

Rationale: Low-impact activities like swimming reduce joint stress in osteoarthritis, improving mobility and reducing pain.

Question 3 of 5

A 48-year-old client is being seen in her physician's office for complaints of indigestion, heartburn, right upper quadrant pain, and nausea of 4 days' duration, especially after meals. The nurse realizes that these symptoms may be associated with cholecystitis and therefore would check for which specific sign during the abdominal assessment?

Correct Answer: C

Rationale: This sign is a faint blue discoloration around the umbilicus found in clients who have hemorrhagic pancreatitis. This sign indicates areas of inflammation within the peritoneum, such as with appendicitis. It is a deep palpation technique used on a nontender area of the abdomen, and when the palpating hand is removed suddenly, the client experiences a sharp, stabbing pain at an area of peritoneal inflammation. This sign is considered positive with acute cholecystitis when the client is unable to take a deep breath while the right upper quadrant is being deeply palpated. The client will elicit a sudden, sharp gasp, which means the gallbladder is acutely inflamed. This is a sign of acute hemorrhagic pancreatitis and manifests as a green or purple discoloration in the flanks.

Question 4 of 5

The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?

Correct Answer: D

Rationale: Wearing sunscreen protects against UV radiation, a key skin cancer risk factor. Regular checkups (
A) are less specific, sunbathing at peak hours (
B) increases risk, and routine mole removal (
C) is excessive.

Question 5 of 5

A hyperactive client is experiencing flight of ideas. The most therapeutic activity for him would be:

Correct Answer: D

Rationale: This activity would allow the client to channel his energy in a positive way, suitable for his hyperactive state and limited attention span.

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