Questions 151

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is planning care for a client who has sustained a spinal cord injury. The nurse should assess the client for:

Correct Answer: A,D

Rationale: Spinal cord injury often causes anesthesia (loss of sensation) and loss of position/vibratory sense below the injury level. Tingling or pain below the injury is less likely due to disrupted nerve pathways.

Question 2 of 5

The nurse is caring for a client post-myocardial infarction. Which activity should the nurse encourage to promote recovery?

Correct Answer: B

Rationale: Light ambulation as tolerated promotes circulation and prevents complications like deep vein thrombosis, while avoiding overexertion post-myocardial infarction.

Question 3 of 5

A client with a history of chronic lymphocytic leukemia is admitted with fatigue. The nurse should monitor the client for which of the following?

Correct Answer: A

Rationale: Chronic lymphocytic leukemia can cause anemia due to bone marrow suppression, leading to fatigue.

Question 4 of 5

A client with a history of peptic ulcer disease is prescribed lansoprazole (Prevacid). The nurse should instruct the client to:

Correct Answer: A

Rationale: Lansoprazole is most effective when taken before meals to reduce acid production.

Question 5 of 5

A client with a history of peptic ulcer disease is admitted with hematemesis. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Intravenous pantoprazole reduces acid production and stabilizes bleeding in peptic ulcer disease.

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