Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

Following cardiac bypass surgery, the client has been referred to a cardiac rehabilitation exercise program. The client is a diabetic and has bilateral leg discomfort with walking. The nurse should advise the client to exercise using a stationary bicycle and intermittent training because of the client's:

Correct Answer: A

Rationale: Diabetic neuropathy likely causes the client's leg discomfort, making low-impact, intermittent stationary cycling suitable to avoid exacerbating symptoms. Other conditions are less likely causes.

Question 2 of 5

The nurse is caring for a client who is having an acute asthma attack. The nurse should notify the physician of which of the following?

Correct Answer: C

Rationale: Decreased breath sounds indicate severe airway obstruction in an asthma attack, requiring immediate physician notification.

Question 3 of 5

You are the supervising nurse in a physical rehabilitation center that has the philosophy that clients have the need to cope with their disabilities and its limitations are the result of a discrepancy between the client's abilities and the limitations of the physical and social environment within which the client lives. Which model of disability is this philosophy based on?

Correct Answer: C

Rationale: This philosophy aligns with the cognitive model of disability, which emphasizes the interaction between an individual's abilities and environmental barriers, focusing on adaptation and coping strategies.

Question 4 of 5

Which of the following is an adverse effect of vancomycin (Vancocin) and needs to be reported promptly?

Correct Answer: B

Rationale: Tinnitus is a sign of ototoxicity, a serious adverse effect of vancomycin that requires prompt reporting to prevent permanent hearing damage.

Question 5 of 5

Which of the following types of restraints is best for the nurse to use for a child in the immediate postoperative period after cleft palate repair?

Correct Answer: B

Rationale: Elbow restraints are most appropriate post-cleft palate repair to prevent the child from touching or damaging the surgical site while allowing some mobility.

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