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

Questions 148

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions

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

A 56-year-old male with a long history of alcohol abuse is brought to the detox center per terms of his probation. He had his last drink 6 hours ago and seems confused and agitated. The nurse expects the physician to order

Correct Answer: B

Rationale: Chlordiazepoxide (Librium), a benzodiazepine, is used to manage alcohol withdrawal symptoms like confusion and agitation, preventing seizures.

Question 3 of 5

The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.

Question 4 of 5

The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?

Correct Answer: C

Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.

Question 5 of 5

A 15-year-old client took a full bottle of extra-strength acetaminophen in a suicide attempt 5 hours prior to admission to the emergency department for treatment, and the serum level of the drug is 180 mcg/mL. Which of the following interventions does the nurse anticipate? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Acetaminophen overdose requires NAC (
A), supportive care (
B), charcoal if within 4-8 hours (
C), hepatic monitoring (
D), and psychiatric consultation (E) for suicide attempt.

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