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 an aphasia assessment of a client who has suffered a stroke. Which of the following observations should the nurse include in the assessment? Select all that apply.

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

Rationale: Aphasia assessment post-stroke includes evaluating spontaneous speech (
A), comprehension (
B), naming objects (
C), describing objects (
D), and writing (E). Memory recall (F) is not specific to aphasia.

Question 2 of 5

A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

Correct Answer: B

Rationale: Hydration is the highest priority in sickle cell crisis to prevent further sickling of red blood cells and to promote blood flow, reducing the risk of complications.

Question 3 of 5

While terminating the therapeutic nurse-client relationship, which action should be avoided?

Correct Answer: A

Rationale: Raising a new issue at termination can disrupt closure and hinder the client’s ability to process the end of the relationship.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of migraine headaches about trigger avoidance. Which of the following should the client avoid?

Correct Answer: B

Rationale: aged cheeses contain tyramine, a common migraine trigger

Question 5 of 5

A manic client is admitted to an inpatient psychiatric center. He is hyperactive, talking quickly, acting aggressively, and pacing. The nursing staff should

Correct Answer: D

Rationale: A manic client’s behavior requires close supervision for safety. Assigning an RN to stay with the client ensures monitoring and intervention as needed.

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