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

The client has an order for heparin to prevent post-surgical thrombi. Immediately following a heparin injection, the nurse should:

Correct Answer: D

Rationale: Checking the site for bleeding ensures early detection of hematoma or excessive bleeding post-heparin injection.

Question 2 of 5

Which of the following clients has the highest risk for pulmonary complications after surgery?

Correct Answer: B

Rationale: Open cholecystectomy involves an upper abdominal incision, increasing the risk of pulmonary complications due to pain limiting deep breathing and coughing.

Question 3 of 5

The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Correct Answer: B

Rationale: irreversible disease that leads to permanent physical limitations

Question 4 of 5

A 16-year-old female has been sexually active for two years but was recently treated for a gonorrhea infection. The nurse is teaching the adolescent about safe sex practices. Which of the following statements by the adolescent indicate a need for more information? Select all that apply.

Correct Answer: A,C,D

Rationale: Abstinence until marriage (
A) dismisses the need for education, not using condoms for oral sex (
C) ignores STI risk, and confusion about birth control (
D) indicates a knowledge gap. Statements B and E are correct.

Question 5 of 5

The client with cancer refuses to care for herself. Which action by the nurse would be best?

Correct Answer: C

Rationale: Exploring the reason for the lack of motivation addresses the root cause, enabling tailored interventions to encourage self-care.

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