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

Questions 149

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Question 1 of 5

The nurse is caring for a client following a transphenoidal hypophysectomy. Post-operatively, the nurse should:

Correct Answer: B

Rationale: The halo sign on the nasal dressing indicates cerebrospinal fluid leakage, a critical post-operative complication.

Question 2 of 5

If the first day of a pregnant woman's last menstrual period fell on May 1, 2013, what is the expected delivery month and year? Record your answer using the month (word) and year (whole number).

Correct Answer: Feb-14

Rationale: Using Naegele's rule: May 1, 2013 + 7 days = May 8, then + 9 months = February 8, 2014. Answer is February 2014.

Question 3 of 5

A client comes to the emergency department with scalding burns covering his entire left arm, anterior and posterior surfaces. Using the rule of nines, how much total body surface area (TBSA) has been burned? Record your answer using a whole number.

Correct Answer: 18

Rationale: Rule of nines: Entire arm (anterior and posterior) = 9% per arm. Left arm burn = 9% X 2 surfaces = 18% TBSA.

Question 4 of 5

The nurse is caring for a client with a history of stroke who has dysphagia. Which of the following interventions should the nurse implement to prevent aspiration?

Correct Answer: C

Rationale: thickening liquids to a nectar-like consistency reduces the risk of aspiration in clients with dysphagia

Question 5 of 5

The nurse is checking the client's central venous pressure. The nurse should place the zero of the manometer at the:

Correct Answer: A

Rationale: The phlebostatic axis (4th intercostal space, mid-axillary line) is the standard reference point for accurate central venous pressure measurement.

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