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

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

Correct Answer: A

Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.

Question 2 of 5

A client with diverticulitis fills out her lunch menu after instruction from the nurse on proper diet. Which selection by the client demonstrates the need for further teaching?

Correct Answer: C

Rationale: Creamy peanut butter is high-fat and low-fiber, which can exacerbate diverticulitis. Other options are low-residue and appropriate.

Question 3 of 5

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:

Correct Answer: D

Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.

Question 4 of 5

Whole blood is primarily indicated for which of the following purposes?

Correct Answer: A

Rationale: Whole blood is primarily used to treat extreme loss of blood volume (
A), such as in hemorrhagic shock, as it restores both volume and oxygen-carrying capacity. Clotting factors (
B), anemia (
C), and acute bleeding (
D) may require specific blood components instead.

Question 5 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: Hypotension and tachycardia suggest shock, requiring immediate physician notification.

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