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

Questions 149

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Question 1 of 5

The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?

Correct Answer: D

Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.

Question 2 of 5

A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?

Correct Answer: A

Rationale: Directly asking about suicidal thoughts or plans is the most effective way to assess suicide risk, as it encourages open communication and identifies intent.

Question 3 of 5

The nurse is assessing a client with suspected multiple sclerosis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: vision changes and muscle weakness are common symptoms of multiple sclerosis due to demyelination

Question 4 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

Question 5 of 5

An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing post-traumatic stress disorder. Which intervention would be the best for the nurse to implement?

Correct Answer: B

Rationale: Referring to the multidisciplinary crisis team ensures comprehensive, coordinated care for suspected PTSD, leveraging expertise beyond the nurse’s scope.

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