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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A nurse is working at a summer camp for teenagers. Before the camp hiking trip, the nurse creates a presentation about how to prevent Lyme disease. The nurse would include which of the following in the presentation? Select all that apply.

Correct Answer: C,E

Rationale: DEET repellent and tucking pants into socks prevent tick bites. Dark colors attract ticks, rinsing clothes is insufficient, and petroleum jelly is ineffective for tick removal.

Question 2 of 5

A client has suffered a severe traumatic brain injury and is being treated in the ICU. Which of the following interventions does the nurse anticipate to control intracranial pressure? Select all that apply.

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

Rationale: ICP control includes elevating head (
A), oxygenating (
B), neutral alignment (
C), sedation (
D), and hypothermia (E) to reduce swelling and metabolic demand.

Question 3 of 5

A client has orders for zoledronic acid (Reclast). Which lab value finding would prompt the nurse to notify the prescriber?

Correct Answer: C

Rationale: Zoledronic acid can worsen renal function. A creatinine clearance of 29 mL/min (indicating renal impairment) requires prescriber notification.

Question 4 of 5

A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

Correct Answer: A

Rationale: Pancreatic cancer often leads to malnutrition due to impaired digestion and absorption, making alteration in nutrition the primary concern.

Question 5 of 5

Which information obtained from the mother of a child with cerebral palsy correlates to the diagnosis?

Correct Answer: B

Rationale: Meningitis in infancy can cause neurological damage, correlating with cerebral palsy.

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