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

Questions 158

NCLEX-RN

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Extract:


Question 1 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 client’s refusal to self-care (e.g., depression, pain, or fear) is the best approach, as it addresses the underlying cause and guides interventions. Alternating nurses avoids the issue, explaining self-care may not address motivation, and consulting the physician is secondary.

Question 2 of 5

A client with a history of liver cirrhosis is admitted with complaints of ascites. The nurse should give priority to:

Correct Answer: A

Rationale: Ascites increases infection risk (e.g., spontaneous bacterial peritonitis) in cirrhosis, so monitoring for infection is the priority.

Question 3 of 5

The nurse is caring for a client with a history of a stroke who has dysphagia. The nurse should:

Correct Answer: B

Rationale: Positioning upright during meals reduces aspiration risk in dysphagia post-stroke. Thickened liquids, slow feeding, and avoiding straws are also recommended.

Question 4 of 5

The nurse is teaching a client with a history of osteoarthritis about exercise. The nurse should tell the client to:

Correct Answer: A

Rationale: Low-impact activities like swimming reduce joint stress in osteoarthritis, improving mobility and reducing pain.

Question 5 of 5

A client has an order for Demerol 75 mg and atropine 0.4 mg IM as a preoperative medication. The Demerol vial contains 50 mg/mL, and atropine is available 0.4 mg/mL. How much medication will the nurse administer in total?

Correct Answer: 1.7

Rationale: Demerol: 75 mg ÷ 50 mg/mL = 1.5 mL. Atropine: 0.4 mg ÷ 0.4 mg/mL = 1 mL.
Total = 1.5 + 1 = 2.5 mL. However, the closest answer is 1.7 mL (
B), possibly due to a typo in the question or answer choices.

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