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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected Addison’s disease. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: hyperpigmentation of the skin is a classic sign of Addison’s disease due to increased ACTH production

Question 2 of 5

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

Correct Answer: A

Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.

Question 3 of 5

The nurse is caring for a client admitted to ICU following a heart attack. The nurse notes on the chart that the client has named his spouse to make decisions regarding his care if he is unable to speak for himself. What is the name of the document the client has signed? Fill in the blank.

Correct Answer: C

Rationale: The document is a **Durable Power of Attorney for Healthcare** or **Healthcare Proxy**, designating the spouse as the decision-maker.

Question 4 of 5

The charge nurse notices another nurse on the floor reading the chart of a client who is not under her care. When confronted, the nurse says, 'This client is my neighbor, and I'm just concerned about him.' Which is the correct response by the charge nurse?

Correct Answer: C

Rationale: Accessing a chart without a care-related purpose violates HIPAA and patient privacy, regardless of personal relationships.

Question 5 of 5

The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?

Correct Answer: C

Rationale: Cyanotic ear lobes indicate severe hypoxemia, a late sign of airway obstruction. Restlessness and stridor are earlier, and rales are unrelated.

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