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 has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: A

Rationale: Significant drainage post-lobectomy suggests potential hemorrhage, requiring urgent assessment.

Question 2 of 5

The nurse is caring for a 4-year-old with cerebral palsy. Which nursing intervention will help ready the child for rehabilitative services?

Correct Answer: D

Rationale: Video games can improve hand-eye coordination and muscle control, aiding in rehabilitation for a child with cerebral palsy.

Question 3 of 5

A 14-year-old boy comes in for a yearly exam and confides in the nurse that he feels embarrassed he is shorter than most of the girls in his class. He asks if he will catch up in height. The best therapeutic response from the nurse is

Correct Answer: B

Rationale: This response validates the boy’s feelings, provides factual reassurance about growth during puberty, and is empathetic without dismissing his concerns.

Question 4 of 5

A woman comes to a community health clinic and expresses concern she may have been exposed to HIV. The community nurse draws blood for an ELISA test, which comes back as positive. The nurse should

Correct Answer: B

Rationale: A positive ELISA requires confirmation with a Western blot test to diagnose HIV, ensuring accuracy and reducing false positives.

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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