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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client following a laryngectomy. The nurse can best help the client with communication by:

Correct Answer: A

Rationale: A pad and pencil allow the client, who cannot speak after a laryngectomy, to communicate effectively by writing messages.

Question 2 of 5

The hospital conducts an information and education session on anthrax. The nurse learns the methods of anthrax transmission include which of the following? Select all that apply.

Correct Answer: A,C,E

Rationale: Anthrax is transmitted via cutaneous (skin contact), inhalation (spores), and gastrointestinal (contaminated food) routes. Ocular and fomite transmission are not primary modes.

Question 3 of 5

The wife of a client with colorectal cancer (CRC) is talking to the nurse about prevention and screening of the disease. Which statement should the nurse make to the wife?

Correct Answer: A

Rationale: A low-fat, high-fiber diet with fruits reduces CRC risk. Screening begins at 45 for average risk, with colonoscopy every 10 years or fecal occult blood test annually.

Question 4 of 5

The physician has ordered an IV bolus of Solu-Medrol (methylprednisolone sodium succinate) in normal saline for a client admitted with a spinal cord injury. Solu-Medrol has been shown to be effective in:

Correct Answer: C

Rationale: Solu-Medrol is used in acute spinal cord injuries to reduce inflammation and swelling, which can improve motor and sensory outcomes if given promptly.

Question 5 of 5

A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?

Correct Answer: C

Rationale: Painless vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervix.

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