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

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:

Correct Answer: A

Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.

Question 2 of 5

A nurse is teaching a group of teenagers the correct technique for applying a condom. Which point would the nurse include in the teaching plan?

Correct Answer: B

Rationale: The condom should be unrolled completely over the erect penis to ensure proper fit and protection. Condoms are single-use, petroleum jelly damages latex, and water isn't used.

Question 3 of 5

During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The nurse's first action should be to:

Correct Answer: C

Rationale: Unclamping the nephrostomy tube is the priority to restore urine flow and prevent obstruction or infection.

Question 4 of 5

The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?

Correct Answer: C

Rationale: The Valsalva maneuver falsely elevates CVP; normal breathing is required.

Question 5 of 5

A client weighing 150 pounds has received burns over 50% of his body at 1200 hours. Using the Parkland formula, calculate the expected amount of fluid that the client should receive by 2000 hours.

Correct Answer: B

Rationale: Parkland formula: 4 mL × kg × % TBSA. Weight = 150 lb ÷ 2.2 = 68 kg. 4 × 68 × 50 = 13,600 mL total. Half (6,800 mL) is given in the first 8 hours (1200 to 2000).

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