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

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is completing admission on a client with possible esophageal cancer. Which finding would not be common for this diagnosis?

Correct Answer: C

Rationale: Esophageal cancer commonly presents with dysphagia, foul breath (due to tumor necrosis), and chronic hiccups (from diaphragmatic irritation). Diarrhea is not typically associated with esophageal cancer.

Question 2 of 5

The nurse is caring for a Muslim client who is recovering from an automobile accident and is unable to cleanse herself after a bowel movement. Which of the following should the nurse do to show respect for the woman's cultural and religious beliefs?

Correct Answer: B

Rationale: In Islamic culture, hygiene after defecation is important, and female clients may prefer assistance from female family members (
B) to maintain modesty. The left hand (
A) is traditionally used by the client, not the nurse. Gloves (
C) are standard but not cultural. The husband (
D) may not be appropriate due to modesty.

Question 3 of 5

A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.

Correct Answer: A,C

Rationale: Flat affect and hallucinations are hallmark symptoms of schizophrenia. Fast speech or feeling energized may occur but are not specific to this diagnosis.

Question 4 of 5

The client is having fetal heart rates of 100-110 beats per minute during the contractions. The first action the nurse should take is to:

Correct Answer: B

Rationale: Turning the client to her side improves uteroplacental perfusion, addressing fetal bradycardia during contractions.

Question 5 of 5

The nurse is performing an admission for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?

Correct Answer: A

Rationale: Clopidogrel, an antiplatelet drug, increases bleeding risk. Epistaxis (nosebleed) is a significant adverse effect requiring attention.

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