NCLEX Questions, NCLEX Practice Questions PN Questions, NCLEX-PN Questions, Nurselytic

Questions 176

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Extract:


Question 1 of 5

A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?

Correct Answer: A

Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.

Question 2 of 5

Which interventions does the nurse perform to promote normal rest and sleep patterns for a critically ill client? Select all that apply.

Correct Answer: A, C, D

Rationale: Dimming lights (
A), opening blinds in the morning (
C), and scheduling activities during the day (
D) promote circadian rhythms and rest. Leaving the TV on (
B) may disrupt sleep, and turning off alarms (E) compromises safety.

Question 3 of 5

The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?

Correct Answer: A

Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.

Question 4 of 5

The nurse is instructing the client with a fractured femur in crutch walking. When instructing the client in the best method of manipulating stairs, the nurse should tell the client to:

Correct Answer: B

Rationale: For ascending stairs, lead with the unaffected leg to bear weight, followed by crutches and affected leg. This ensures stability and safety.

Question 5 of 5

The nurse is caring for a client with Guillain-Barré syndrome after a recent gastrointestinal illness. Monitoring for which symptom is a nursing care priority in this client?

Correct Answer: C

Rationale: Inability to cough or lift the head (
C) indicates respiratory muscle weakness, a life-threatening complication in Guillain-Barré syndrome, making it the priority.

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