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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?

Correct Answer: D

Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.

Question 2 of 5

The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

Correct Answer: C

Rationale: This menu provides balanced nutrients, including protein, vitamins, and calcium, essential for pregnancy.

Question 3 of 5

The client presents to the clinic with a serum cholesterol of 275 mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

Correct Answer: A

Rationale: Muscle weakness is a sign of myopathy, a serious side effect of statins like rosuvastatin, and should be reported immediately to the physician.

Question 4 of 5

The nurse is caring for a 10-year-old client who states, 'I am really good at soccer because I practice every day.' According to Erikson's eight stages of development, which psychosocial crisis does this statement reflect?

Correct Answer: B

Rationale: A 10-year-old’s pride in skill development reflects industry vs. inferiority, typical of school-age children striving for competence.

Question 5 of 5

A 70-year-old male who is recovering from a stroke exhibits signs of unilateral neglect. Which behavior is suggestive of unilateral neglect?

Correct Answer: A

Rationale: Unilateral neglect involves ignoring one side, such as shaving only one side of the face.

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