NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions Quizlet Questions

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Question 1 of 5

The nurse is caring for an 80-year-old client with Parkinson’s disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Correct Answer: B

Rationale: irreversible disease that leads to permanent physical limitations

Question 2 of 5

A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

Correct Answer: D

Rationale: The mother's desire to breastfeed is the primary factor influencing breastfeeding success.

Question 3 of 5

A 92-year-old male client with Alzheimer's frequently experiences urinary incontinence. Which intervention should the nurse do first?

Correct Answer: D

Rationale: Offering the urinal every 2 hours promotes continence and dignity, addressing incontinence non-invasively before considering catheters or diapers.

Question 4 of 5

A client with an artificial eye is too ill to remove the eye, but the lids are crusted and irritated, so the nurse must remove the prosthesis for cleaning and to inspect the eye socket. The nurse has washed hands and applied disposable gloves. Place the remaining steps to removing the prosthesis (Roman numerals) in the correct order.

Order the Items

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Gently retract the upper lid.
Exert slight pressure below the eyelid and slip index finger under prosthesis.
Break suction and slide prosthesis out of eye.
Gently retract the lower eyelid against the orbital ridge with the thumb.

Correct Answer: A,D,B,C

Rationale: Prosthesis removal: Retract upper lid (I), retract lower lid (IV), slip finger under prosthesis (II), break suction and remove (III).

Question 5 of 5

The nurse is caring for a client with a history of chronic renal failure who is receiving hemodialysis. Which of the following findings would indicate a complication of dialysis?

Correct Answer: B

Rationale: hypotension during dialysis may indicate fluid removal too rapidly or other complications, requiring immediate intervention

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