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

Questions 149

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Question 1 of 5

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, respirations 30. Which action by the nurse should receive priority?

Correct Answer: B

Rationale: Hypotension and tachycardia suggest shock, requiring immediate physician notification.

Question 2 of 5

A nursing assistant assigned to care for a client receiving linear accelerator radium therapy for laryngeal cancer states, 'I don't want to be assigned to that radioactive patient.' The best response by the nurse is to:

Correct Answer: A

Rationale: Linear accelerator therapy delivers external radiation, so the client is not radioactive and poses no risk to staff.

Question 3 of 5

After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is

Correct Answer: B

Rationale: Sitting quietly with the client provides emotional support, allowing him to process grief and anger without judgment.

Question 4 of 5

In terms of cognitive development, a 2-year-old would be expected to:

Correct Answer: B

Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.

Question 5 of 5

A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?

Correct Answer: A

Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.

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