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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is caring for a client whose native language is Korean; he speaks only a few words of English. The health care provider has determined that the client needs to undergo a coronary artery bypass graft. Which is the appropriate action by the nurse?

Correct Answer: D

Rationale: A licensed translator ensures accurate communication and informed consent, adhering to ethical and legal standards.

Question 2 of 5

A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

Correct Answer: C

Rationale: The proximal end of a double-barrel colostomy, which produces stool, is typically on the client's right side.

Question 3 of 5

The nurse is caring for an 11-year-old patient being treated for a fractured right femur with balanced suspension traction with a Thomas splint and Pearson attachment. The nurse notes that the patient’s left leg is externally rotated. The nurse should

Correct Answer: A

Rationale: holds hip in neutral position and leg in normal alignment, entire weight of leg cannot be held by props placed below knee

Question 4 of 5

The nurse is caring for a 36-year-old female recently diagnosed with Addison's disease. The nurse recognizes further teaching is needed if the client states,

Correct Answer: A

Rationale: Addison’s disease requires increased salt intake due to aldosterone deficiency. Lifelong hormone therapy, medical alert bracelets, and monitoring for adrenal crisis are correct.

Question 5 of 5

A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?

Correct Answer: A

Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.

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