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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse has a client complaining of chest pain. Where should the nurse place the V5 lead for a 12-lead EKG?

Correct Answer: A

Rationale: The V5 lead is placed in the left anterior axillary line at the fifth intercostal space for a 12-lead EKG.

Question 2 of 5

The client with an ileostomy is being discharged. Which teaching should be included in the plan of care?

Correct Answer: C

Rationale: Stomahesive provides effective skin protection around the ileostomy, preventing irritation and ensuring a secure seal.

Question 3 of 5

A client has been prescribed tetracycline (Sumycin) for Lyme disease. All of the following statements indicate successful client teaching regarding this medication EXCEPT

Correct Answer: A

Rationale: Tetracycline should not be taken with antacids, as they reduce absorption. The other statements are correct: pregnancy is a contraindication, photosensitivity requires sunscreen, and dairy products interfere with absorption.

Question 4 of 5

The physician has ordered that a client recovering from back surgery be logrolled. The client has a draw sheet in place, and the nurse and an assistant are positioned with one on each side of the bed. Place the steps to logrolling (Roman numerals) in the correct sequence from first to last.

Order the Items

Source Container

Grasping draw sheet at shoulder and lower hips, roll patient on count of three.
Place a small pillow between client's knees.
Place pillows along length of client's back.
Cross client's arms across chest.

Correct Answer: D,B,A,C

Rationale: Logrolling sequence: Cross arms (IV) to secure them, place pillow between knees (II) for alignment, roll patient (I), then place pillows along back (III) for support.

Question 5 of 5

A client with paranoid schizophrenia is brought to the hospital by her elderly parents. During the assessment, the client's mother states, 'Sometimes she is more than we can manage.' Based on the mother's statement, the most appropriate nursing diagnosis is:

Correct Answer: B

Rationale: The mother's statement suggests caregiver role strain due to the ongoing stress of managing the client's schizophrenia symptoms.

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