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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is instructing a client who has had an eye removed in the proper procedure for inserting a prosthetic eye. Place the following steps of prosthetic-eye insertion (in Roman numerals) in the correct sequence from the first to the last.

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

Rationale: The correct sequence for inserting a prosthetic eye is: Cleanse the prosthetic eye (VI), identify landmarks (IV), raise the upper eyelid (I), pull the lower eyelid down (II), slide the prosthesis under the upper eyelid (III), and check positioning (V). This ensures proper hygiene and alignment.

Question 2 of 5

The nurse is performing a breast exam on a client when she discovers a mass. Which characteristic of the mass would most indicate a reason for concern?

Correct Answer: D

Rationale: A firm, immobile mass is more likely to be malignant. Tender, regular, or mobile masses are often benign, but firmness warrants further evaluation.

Question 3 of 5

A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:

Correct Answer: D

Rationale: Trendelenburg sign is associated with congenital hip dysplasia, where the pelvis tilts downward on the unaffected side when the child stands on the affected leg, indicating hip instability.

Question 4 of 5

A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

Correct Answer: C

Rationale: The rhythm method relies on predicting ovulation, which requires regular menstrual cycles.

Question 5 of 5

A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:

Correct Answer: D

Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.

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