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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


Question 1 of 5

During the nurse's assessment of a client who has been diagnosed with anorexia nervosa, the nurse evaluates certain characteristics that accompany an intense fear of gaining weight. What characteristics are most applicable? Select all that apply.

Correct Answer: A,B

Rationale: Fatigue and excessive exercise are common in anorexia nervosa due to malnutrition and compulsive behaviors. Normal weight or high blood pressure are less typical.

Question 2 of 5

The nurse is teaching feeding protocol to the spouse of a client who experienced a severe stroke. Which statement by the spouse indicates a need for further explanation by the nurse?

Correct Answer: B

Rationale: Turning on the television during meals can distract the client, increasing the risk of aspiration, and requires further teaching. Other statements are appropriate.

Question 3 of 5

Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?

Correct Answer: C

Rationale: safety is a priority for the client who is at high risk for infection

Question 4 of 5

Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

Correct Answer: A

Rationale: Balanced skeletal traction commonly uses a Steinman pin to stabilize fractures.

Question 5 of 5

The nurse is reviewing the lab reports on several clients. Which one should be reported to the physician immediately?

Correct Answer: D

Rationale: A white cell count of 2,200 cu/mm indicates severe leukopenia, a serious side effect of Dilantin, requiring immediate reporting.

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