NCLEX Questions, NCLEX Trainer Test 6 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

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Question 1 of 5

A mother brings her two-year-old boy to the pediatrician’s office.

Correct Answer: C

Rationale: Strabismus is characterized by misaligned visual axes, causing the brain to receive two images. Closing one eye to focus on an object, such as a poster, is a compensatory behavior indicative of strabismus. The other symptoms suggest refractive errors or other visual impairments, not strabismus.

Question 2 of 5

A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse.

Correct Answer: A

Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia, characterized by confusion, cold, clammy skin, and tachycardia (pulse 110) due to sympathetic activation. Hyperglycemia causes hot, dry skin and rapid respirations, while normal or fluid overload symptoms do not apply.

Question 3 of 5

The nurse is assisting a client with deep breathing and coughing exercises following abdominal surgery. What instruction is most appropriate for the nurse to give the client?

Correct Answer: B

Rationale: Splinting the incision reduces pain and supports effective deep breathing and coughing, preventing postoperative complications.

Question 4 of 5

The nurse is caring for a client who is 2 days postoperative after a cholecystectomy. Which of the following findings would be of GREATest concern to the nurse?

Correct Answer: C

Rationale: Yellowish drainage from the incision suggests infection or bile leakage, a serious complication post-cholecystectomy requiring immediate evaluation. Options A, B, and D are expected or normal: slight fever is common, incision pain is typical, and urine output is adequate.

Question 5 of 5

The nurse is caring for a client with a history of polycystic kidney disease.

Correct Answer: B

Rationale: Flank pain and hematuria are common in polycystic kidney disease due to cyst pressure and rupture. Chest pain, weight loss, and numbness are unrelated.

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