NCLEX Questions, NCLEX RN Exam Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?

Correct Answer: C

Rationale: Cheyne-Stokes respiratory pattern is most often associated with increased intracranial pressure secondary to changes in pressure in the cerebral and cerebellar areas.

Question 2 of 5

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

Correct Answer: A

Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.

Question 3 of 5

The nurse has just received a report from the previous shift.

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. COPD with PCO2 50 (
A) is stable, pain (
C) is less urgent, and mild fever (
D) is expected post-op.

Question 4 of 5

The physician has ordered a homocysteine blood level on a client.

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.

Question 5 of 5

A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

Correct Answer: A

Rationale: Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. Antihistamines should be avoided because they can cause thickening of secretions. Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.

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