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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

Question 2 of 5

A nurse is preparing to lift a client up in bed. Which of the following should the nurse do to help avoid injuring his back?

Correct Answer: C

Rationale: Tightening stomach and leg muscles stabilizes the core, reducing back strain during lifting.

Question 3 of 5

The mother of a 6-month-old asks when her child will have all his baby teeth. The nurse knows that most children have all their primary teeth by age:

Correct Answer: D

Rationale: Most children have all 20 primary teeth by 30 months, with eruption typically completing between 2-3 years.

Question 4 of 5

Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

Correct Answer: B

Rationale: Pregnant nurses should avoid caring for clients with radium implants due to the risk of radiation exposure to the fetus.

Question 5 of 5

An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing post-traumatic stress disorder. Which intervention would be the best for the nurse to implement?

Correct Answer: B

Rationale: Referring to the multidisciplinary crisis team ensures comprehensive, coordinated care for suspected PTSD, leveraging expertise beyond the nurse’s scope.

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