NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

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Question 1 of 5

The nurse is caring for a client who is postoperative day 2 after a bowel resection. Which of the following findings would be of GREATest concern to the nurse?

Correct Answer: A

Rationale: Absence of bowel sounds on postoperative day 2 may indicate paralytic ileus or obstruction, a serious complication requiring immediate evaluation. Options B, C, and D are expected or normal: slight fever is common, incision pain is typical, and urine output is adequate.

Question 2 of 5

The nurse would identify which of the following clients as being at the highest risk for developing a pulmonary embolus?

Correct Answer: B

Rationale: obesity, immobility, and pooling of blood in the pelvic cavity contribute to development of pulmonary emboli

Question 3 of 5

During the removal of a radium implant, it is MOST important for the nurse to take which of the following actions?

Correct Answer: C

Rationale: important that accurate documentation be maintained on the internal radium implant

Question 4 of 5

The nursing staff is planning to use behavior modification techniques for an elderly woman who constantly screams. Which of the following nursing assessments is necessary to establish a successful program?

Correct Answer: C

Rationale: to design an effective behavior modification program, accurate baseline data must first be collected about the target behavior in relation to frequency, amount, time, and precipitating factors

Question 5 of 5

The nurse is caring for a two-month-old infant. A pH probe test indicates that the infant has reflux. Which nursing action is MOST appropriate?

Correct Answer: D

Rationale: infant with reflux should be maintained in an upright position; head of the bed should be raised at a 30° angle

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