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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is preparing to pull a thin, frail client up in the bed. No one responds to the nurse's call for lifting assistance. Which is the best action by the nurse?

Correct Answer: C

Rationale: Using the draw sheet to pull the client up is the safest option to prevent injury to both the client and nurse when assistance is unavailable.

Question 2 of 5

The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?

Correct Answer: A

Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy

Question 3 of 5

The nurse is performing fluid resuscitation on a burn client. Which piece of assessment data is the best indicator that it is effective?

Correct Answer: B

Rationale: Urine output of 30-50 mL/hr is the best indicator of adequate fluid resuscitation in burn clients, reflecting sufficient renal perfusion and fluid balance.

Question 4 of 5

A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?

Correct Answer: A

Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.

Question 5 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

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