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

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of heart failure. Which discharge instruction is most important?

Correct Answer: A

Rationale: Daily weight monitoring detects fluid retention early in heart failure, allowing timely intervention. Exercise should be moderate, sodium restricted, and pain relievers used cautiously.

Question 2 of 5

A client is admitted to the hospital with diabetic ketoacidosis. The emergency room nurse should anticipate the administration of:

Correct Answer: B

Rationale: Regular insulin is rapid acting and indicated in an emergency situation.

Question 3 of 5

A client with a history of chronic migraines is admitted with complaints of headache. The nurse should give priority to:

Correct Answer: C

Rationale: A quiet environment reduces sensory stimuli, which can exacerbate migraines, making it a priority to promote comfort.

Question 4 of 5

Which of the following statements describes Piaget's stage of concrete operations?

Correct Answer: C

Rationale: Piaget's concrete operations stage (ages 7-11) involves logical, coherent thinking about concrete events, not abstract concepts. Perspective-taking improves but is secondary to logical thought.

Question 5 of 5

Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

Correct Answer: A

Rationale: Universal precautions are critical due to the bloodborne nature of hepatitis C. The other options are not appropriate for hepatitis C care.

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