Questions 151

NCLEX-RN

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Extract:


Question 1 of 5

A nurse is teaching a client about crutch walking. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Crutches should be placed 6–10 inches to the side and front for stability. Weight is borne on hands, elbows are flexed, and the unaffected leg steps first.

Question 2 of 5

Which of the following examples should the nurse use to describe bulimia to a group of parents at a local community center?

Correct Answer: D

Rationale: Bulimia is characterized by binge eating followed by purging to prevent weight gain.

Question 3 of 5

The nurse establishes the goal of preventing the development of a stress ulcer in a burn client. Which of the following interventions would most likely contribute to the achievement of this goal?

Correct Answer: C

Rationale: Prophylactic antacids or H2 receptor antagonists reduce gastric acid, preventing stress ulcers in burn patients, who are at high risk due to stress response.

Question 4 of 5

A client with chronic undifferentiated schizophrenia is having an acute exacerbation of symptoms. The client states, 'Black cats and black hats. Where does the time go?' Which of the following would be most important for the nurse to say?

Correct Answer: C

Rationale: Clarifying the client's statement helps assess their thought process and engage therapeutically.

Question 5 of 5

The nurse assesses for euphoria in a client with multiple sclerosis, looking for which of the following characteristic clinical manifestations?

Correct Answer: B

Rationale: Euphoria in multiple sclerosis is characterized by an exaggerated sense of well-being, often disproportionate to the client's condition.

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