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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse caring for a client after a suspected CVA recognizes which nursing diagnosis as the priority?

Correct Answer: C

Rationale: Alteration in cerebral tissue perfusion is the priority after a CVA, as it directly affects brain oxygenation and function, impacting all other functions.

Question 2 of 5

The client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which of the following should be reported to the doctor?

Correct Answer: A

Rationale: An elevated white blood cell count may indicate infection or inflammation, which requires prompt reporting before surgery.

Question 3 of 5

A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8 mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:

Correct Answer: C

Rationale: Zofran (ondansetron) is an antiemetic used to prevent nausea and vomiting associated with chemotherapy.

Question 4 of 5

The nurse is discussing cigarette smoking with an emphysema client. The client states, 'I don't know why I should worry about cancer.' The nurse's response is based on the fact that the most important reason for a client with emphysema to avoid smoking is that it:

Correct Answer: C

Rationale: Smoking destroys lung parenchyma in emphysema, worsening alveolar damage and impairing gas exchange, making it the primary reason to avoid smoking.

Question 5 of 5

Which of the following post-operative diets is most appropriate for the client who has had a hemorrhoidectomy?

Correct Answer: A

Rationale: High-fiber diets promote soft stools, reducing strain post-hemorrhoidectomy.

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