Questions 150

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NCLEX RN Practice Questions with Answers Questions

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Question 1 of 5

The nurse is assessing a client with a suspected spinal cord injury. Which of the following findings is most indicative of this condition?

Correct Answer: A

Rationale: Loss of sensation below the injury site is a hallmark sign of spinal cord injury due to disrupted nerve pathways.

Question 2 of 5

Which of these clients is at greatest risk for falls?

Correct Answer: B

Rationale: An 87-year-old female is at the greatest risk for falls due to age-related factors like decreased mobility, balance issues, and potential comorbidities, compared to younger or less impaired clients.

Question 3 of 5

A client with a diagnosis of rheumatoid arthritis is prescribed etanercept (Enbrel). The nurse should monitor the client for which of the following side effects?

Correct Answer: A

Rationale: Etanercept, a TNF inhibitor, increases the risk of infections due to immune suppression.

Question 4 of 5

You are caring for a postoperative client who is complaining of abdominal distention and flatus. Which intervention would you most likely do for this client?

Correct Answer: C

Rationale: A return-flow enema is used to relieve gas and distention by introducing and withdrawing fluid to stimulate gas expulsion.

Question 5 of 5

Which of the following should the nurse identify as a priority nursing diagnosis for an infant with intussusception?

Correct Answer: C

Rationale: Acute pain is the priority nursing diagnosis for an infant with intussusception due to bowel obstruction causing severe abdominal pain. Fluid volume and gas exchange may be concerns but are secondary.

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The nurse is teaching a client about the use of a transdermal nicotine patch for smoking cessation. Which instruction is correct?
A 10-year-old child with asthma is prescribed an albuterol inhaler. The nurse should teach the child to:

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