NCLEX Questions, NCLEX RN Practice Questions Quizlet 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 closed head injury. Fluid is assessed leaking from the ear. The nurse's first action will be to:

Correct Answer: C

Rationale: Fluid leaking from the ear may indicate cerebrospinal fluid (CSF) leakage, a serious complication. Testing for glucose (positive in CSF) is the first step to confirm the nature of the drainage.

Question 2 of 5

A client has suffered a severe traumatic brain injury and is being treated in the ICU. Which of the following interventions does the nurse anticipate to control intracranial pressure? Select all that apply.

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

Rationale: ICP control includes elevating head (
A), oxygenating (
B), neutral alignment (
C), sedation (
D), and hypothermia (E) to reduce swelling and metabolic demand.

Question 3 of 5

A 16-year-old female has been sexually active for two years but was recently treated for a gonorrhea infection. The nurse is teaching the adolescent about safe sex practices. Which of the following statements by the adolescent indicate a need for more information? Select all that apply.

Correct Answer: A,C,D

Rationale: Abstinence until marriage (
A) dismisses the need for education, not using condoms for oral sex (
C) ignores STI risk, and confusion about birth control (
D) indicates a knowledge gap. Statements B and E are correct.

Question 4 of 5

The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:

Correct Answer: A

Rationale: Pulmonary complications, such as chronic infections and reduced lung function, are the primary determinants of prognosis in cystic fibrosis, as they significantly impact morbidity and mortality.

Question 5 of 5

A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?

Correct Answer: A

Rationale: Diabetes insipidus causes excessive water loss due to low ADH, leading to polyuria. The other symptoms are unrelated.

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