NCLEX Questions, Mock NCLEX RN Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is evaluating the evidence-based practice used for the units' client care standards. Which of the following provides the most support for evidence-based practice?

Correct Answer: B, D, E

Rationale: Evidence-based practice relies on practice guidelines (
B), research articles (
D), and systematic reviews (E) for high-quality evidence. Client preference (
A) and care plans (
C) are individualized but less rigorous.

Question 2 of 5

A 3-year-old child is admitted with a diagnosis of possible noncommunicating hydrocephalus. What is the first symptom that indicates increased intracranial pressure?

Correct Answer: C

Rationale: Headache is the earliest symptom of increased intracranial pressure in children, preceding other signs like seizures or ataxia.

Question 3 of 5

The nurse is caring for a client with a history of ulcerative colitis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Ulcerative colitis causes mucosal inflammation, leading to bloody diarrhea, a hallmark symptom.

Question 4 of 5

A client with a history of hypertension is receiving Aldactone (spironolactone). The nurse should teach the client to avoid:

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic, and consuming potassium-rich foods can lead to hyperkalemia. Calcium, fiber, and iron supplements are not contraindicated.

Question 5 of 5

The nurse is caring for a client with a cerebrovascular accident (CVA) who is complaining of being nauseated and is requesting an emesis basin. Which action would the nurse take first?

Correct Answer: C

Rationale: Turning the client to one side prevents aspiration, a priority in a nauseated CVA client with potential swallowing deficits. Administering an antiemetic (
A) or notifying the physician (
D) is secondary, and ice (
B) is ineffective.

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