NCLEX Questions, NCLEX RN Predictor Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 of 5

The nurse is planning for discharge teaching to a client after a total hip replacement. Which teaching points will be included?

Correct Answer: A, B, C, D

Rationale: Hip replacement teaching includes avoiding leg separation (
A), maintaining hydration/fiber (
B), monitoring for dislocation signs (
C), and limiting hip flexion (
D). Sleeping on affected side (E) is not advised to prevent dislocation.

Question 2 of 5

The nurse is caring for a client with a diagnosis of ectopic pregnancy. Which intervention is most appropriate?

Correct Answer: A

Rationale: Ectopic pregnancy requires surgical intervention (e.g. salpingectomy) or medical management (e.g. methotrexate) to remove the non-viable pregnancy.
Tocolytics fetal monitoring and antibiotics are not appropriate.

Question 3 of 5

The client is admitted with a suspected deep vein thrombosis. Which diagnostic test is most likely to confirm the diagnosis?

Correct Answer: B

Rationale: Venous ultrasound is the most effective test to confirm deep vein thrombosis, visualizing clots in the veins. D-dimer is sensitive but not specific, and chest X-ray and ABGs are irrelevant.

Question 4 of 5

The nurse is caring for a client with a diagnosis of preeclampsia. Which laboratory finding is most concerning?

Correct Answer: A

Rationale: A platelet count of 80 000 indicates thrombocytopenia a serious complication in preeclampsia that increases bleeding risk and may signal HELLP syndrome. The other findings while concerning are less immediately alarming.

Question 5 of 5

The nurse is caring for a client with a history of a fractured rib. The client complains of sharp chest pain. The nurse should:

Correct Answer: D

Rationale: Sharp chest pain with a fractured rib may indicate complications like pneumothorax, requiring immediate physician notification. Compresses, breathing, and ibuprofen are insufficient.

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