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

Questions 149

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Extract:


Question 1 of 5

The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

Correct Answer: A

Rationale: Expressive aphasia, often associated with Broca's area damage, impairs the ability to produce speech and write, while comprehension remains relatively intact.

Question 2 of 5

A client with acute respiratory distress syndrome (ARDS) is placed on mechanical ventilation. To increase ventilation and perfusion to all areas of the lungs, the nurse should:

Correct Answer: C

Rationale: Turning the client hourly promotes ventilation and perfusion by mobilizing secretions and preventing atelectasis in ARDS.

Question 3 of 5

If a client's LDL cholesterol is 100, HDL cholesterol is 50, and triglycerides are 150, what is the client's total cholesterol? Record your answer using a whole number.

Correct Answer: 180

Rationale:
Total cholesterol = LDL + HDL + (Triglycerides/ 5) = 100 + 50 + (150/ 5) = 100 + 50 + 30 = 180.

Question 4 of 5

The nurse is preparing to administer digoxin (Lanoxin) 0.25 mg IV to a client with heart failure. Prior to administration, the nurse checks the client’s apical pulse and finds it to be 52 beats per minute. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: digoxin is withheld if the apical pulse is below 60 beats per minute in adults, as it can exacerbate bradycardia

Question 5 of 5

The nurse is preparing to discharge a 60-year-old woman on warfarin (Coumadin) after mitral valve replacement. Which dietary restriction should the nurse advise the client to make?

Correct Answer: C

Rationale: Green beans are high in vitamin K, which can counteract warfarin’s anticoagulant effect. Other foods listed have minimal vitamin K.

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