NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

The nurse is conducting a physical examination of a client's abdomen. Place the examination techniques listed below (Roman numerals) in the correct sequence, from first to last.

Correct Answer: C,D,A,B

Rationale: Abdominal exam sequence: Inspection (III) first, then auscultation (IV) before percussion (I) and palpation (II) to avoid altering bowel sounds.

Question 2 of 5

A client on a 72-hour psychiatric hold experiences a panic attack while getting ready for the day. The nurse should provide the following interventions ranked by priority:

Order the Items

Source Container

stay with the client until the panic attack is over
incorporate physical activity into the client's daily routine
instruct the client to take slow, deep breaths
reduce external stimuli in the immediate area
work with the client to develop coping mechanisms

Correct Answer: A,D,C,E,B

Rationale: Priority order: Stay with the client (
A) for safety, reduce stimuli (
D) to calm the environment, instruct deep breathing (
C) to manage symptoms, develop coping mechanisms (E) for future prevention, and incorporate physical activity (
B) as a long-term strategy.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure

Question 4 of 5

When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse’s actions during this intervention?

Correct Answer: C

Rationale: the need for restraints is based on patient’s behavioral status and condition, not the patient’s voluntary/involuntary status

Question 5 of 5

The doctor has prescribed a diet high in vitamin B12 for a client with pernicious anemia. Which foods are good sources of B12?

Correct Answer: A

Rationale: Vitamin B12 is found in animal products like meat, eggs, and dairy, essential for treating pernicious anemia due to impaired B12 absorption.

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