NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

The nurse is assigning staff for the day. Which client should be assigned to the nursing assistant?

Correct Answer: B

Rationale: The 10-year-old two days post-appendectomy is stable and requires routine care (e.g., vital signs, hygiene), suitable for a nursing assistant. The other clients have conditions (bronchiolitis, cellulitis, fracture) requiring more complex assessments or interventions by licensed staff.

Question 2 of 5

The physician has ordered an infusion of Osmitrol (mannitol) for a client with increased intracranial pressure. Which finding indicates the direct effectiveness of the drug?

Correct Answer: B

Rationale: Mannitol is an osmotic diuretic that reduces intracranial pressure by increasing urinary output, drawing fluid from the brain.

Question 3 of 5

A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

Correct Answer: D

Rationale: Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.

Question 4 of 5

During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?

Correct Answer: D

Rationale: Play provides the child with opportunities for coping and adaptation. Aggression during play activities indicates a coping response to hospitalization.

Question 5 of 5

The nurse documents a client's surgical incision as having red granulated tissue. This indicates that the wound is:

Correct Answer: D

Rationale: The wound is healing properly and is filled with red granulated tissue and fragile capillaries.

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