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Questions 158

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Mock NCLEX RN Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a history of congestive heart failure. The nurse should give priority to:

Correct Answer: A

Rationale: Congestive heart failure increases the risk of arrhythmias due to cardiac strain, making monitoring for arrhythmias a priority to prevent sudden cardiac events.

Question 2 of 5

Which of the following blood values would require further nursing action in a newborn who is 4 hours old?

Correct Answer: C

Rationale: A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention.

Question 3 of 5

The nurse is caring for a client with a history of ulcerative colitis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Ulcerative colitis causes mucosal inflammation, leading to bloody diarrhea, a hallmark symptom.

Question 4 of 5

A client arrives in the emergency room with severe burns of the hands, right arm, face, and neck. The nurse needs to start an IV.

Correct Answer: B

Rationale: The left antecubital fossa is suitable for IV placement, avoiding burned areas (right hand, arm, face, neck). The foot (
C) is less ideal due to infection risk, and the left forearm (
D) may be too close to burn sites.

Question 5 of 5

Priapism may be a sign of:

Correct Answer: A

Rationale: Priapism in the trauma client is due to the neurological dysfunction seen in spinal cord injury. Priapism is an abnormal erection of the penis; it may be accompanied by pain and tenderness. This may disappear as spinal cord edema is relieved. It is not associated with death, urinary incontinence, or reproductive dysfunction as a primary issue.

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