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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

Raynaud's disease is most commonly found in

Correct Answer: D

Rationale: Raynaud’s disease is most common in young women (ages 15-40) due to hormonal and vascular factors.

Question 2 of 5

A client is receiving patient-controlled analgesia following surgery. Which statement by a family member indicates that the nurse needs to do further teaching?

Correct Answer: D

Rationale: Only the client should press the PCA button to prevent overdosing. Other statements reflect correct understanding.

Question 3 of 5

A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should

Correct Answer: B

Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.

Question 4 of 5

The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement made by the client would indicate a need for follow-up after discharge?

Correct Answer: B

Rationale: Visual impairment may hinder diabetes self-management, necessitating follow-up.

Question 5 of 5

The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

Correct Answer: C

Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.

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