Questions 151

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NCLEX RN Test Bank Questions PDF Questions

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Question 1 of 5

An adolescent tells the school nurse she thinks she has infectious mononucleosis. The nurse should next assess the client for?

Correct Answer: A

Rationale: Sore throat and malaise are hallmark symptoms of mononucleosis, requiring targeted assessment.

Question 2 of 5

A client being treated for a comminuted fractured tibia asks the nurse to explain what a comminuted fracture means. The nurse should give which response?

Correct Answer: C

Rationale: A comminuted fracture is a complete fracture across the shaft of a bone, with splintering of the bone into fragments. A simple fracture is a fracture of the bone across its entire shaft with some possible displacement but without breaking the skin. A greenstick fracture is an incomplete fracture, which occurs through part of the cross section of a bone. One side of the bone is fractured, and the other side is bent. A compound fracture, also called an open fracture, is one in which the skin or mucous membrane has been broken, and the wound extends to the depth of the fractured bone.

Question 3 of 5

A nurse is assessing a client with metastatic lung cancer. The nurse should assess the client for:

Correct Answer: C

Rationale: Hoarseness is a common symptom of metastatic lung cancer due to tumor effects on the larynx or recurrent laryngeal nerve. Constipation, diarrhea, and weight gain are less specific.

Question 4 of 5

While assessing a term neonate on a home visit to a primiparous client 2 weeks after a vaginal delivery, the nurse observes that the neonate is slightly jaundiced and the stool is a pale, light color. The nurse notifies the physician because these findings indicate which of the following?

Correct Answer: A

Rationale: Pale stools and jaundice in a neonate suggest biliary atresia, a condition requiring urgent evaluation.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of gout about medication management. Which of the following medications should the client expect to take during an acute attack?

Correct Answer: A

Rationale: Colchicine is used to relieve inflammation during an acute gout attack.

Similar Questions

A client is prescribed buspirone (BuSpar) 5mg two times a day. Which of the following statements indicates that the client has understood the nurse's teaching about this drug? Select all that apply.
Which interventions should the nurse include in the plan of care for a client who is scheduled for a bronchoscopy? Select all that apply.
You are preparing to administer a PRN medication for pain. After your assessment of the client for pain you open the narcotics cabinet with the special key. Your calculations indicate that the client will be getting 0.8 mLs of the medication and the unit dose vial is 1 mL. You discard the excess of 0.2 mLs into the sink drain and enter the client's room. After you identify the client using two unique identifiers, the client refuses the medication. You then discard the 0.8 mLs into the sink and document the client's refusal on the narcotics count record. What have you failed to do during this process?
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?
The nurse is caring for a client with a history of hyperthyroidism who is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following adverse effects?

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