NCLEX Questions, NCLEX Trainer Test 3 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

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Question 1 of 5

An adult is admitted with suspected urolithiasis. Which nursing diagnosis is of highest priority when planning nursing care for this client immediately after admission?

Correct Answer: A

Rationale: Kidney stones cause severe pain, making acute pain the priority diagnosis for immediate relief and comfort. Other diagnoses are secondary.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of gastroesophageal reflux disease (GERD) about omeprazole (Prilosec). Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Diarrhea may indicate Clostridium difficile infection, a serious omeprazole side effect. Options A, C, and D are incorrect: morning dosing is preferred, stopping the medication risks relapse, and it can be taken with meals.

Question 3 of 5

The nurse is caring for a client who is postoperative day 1 after a pancreaticoduodenectomy (Whipple procedure). Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: A temperature of 100.8°F suggests infection, a serious post-Whipple complication. Options A, C, and D are normal.

Question 4 of 5

An alert adult who has terminal cancer says to the home care nurse, 'When the time comes for me to go, I don't want to be in pain and I don't want you to try to resuscitate me. Please promise me you won't.' How should the nurse respond?

Correct Answer: C

Rationale: Asking about advance directives ensures the client's wishes are documented and legally binding, facilitating appropriate end-of-life care.

Question 5 of 5

A client is admitted to a voluntary hospital mental health unit due to suicidal ideation. The client has been on the unit for 2 days and now states 'I demand to be released now!' The appropriate response from the nurse is

Correct Answer: C

Rationale: Clients voluntarily admitted to the hospital have a right to demand and obtain release. Discussing the decision initially allows an opportunity for other interventions.

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