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

Questions 158

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is teaching a client with a history of heart failure about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Diuretics reduce fluid overload in heart failure, so adherence to prescribed doses is critical to manage symptoms.

Question 2 of 5

The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:

Correct Answer: A

Rationale: Lying prone without a pillow helps counteract the forward flexion posture common in Parkinson's disease, reducing spinal curvature. The other positions do not effectively prevent flexion.

Question 3 of 5

The client is prescribed albuterol (Proventil) for asthma. Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Albuterol, a beta-agonist, stimulates the sympathetic nervous system, causing tremors as a common side effect. Tachycardia (not bradycardia), hypertension, and diarrhea are more likely than hypotension or constipation.

Question 4 of 5

The client is diagnosed with a retinal detachment. Which symptom is most likely reported by the client?

Correct Answer: A

Rationale: Retinal detachment typically causes sudden vision loss, often described as a curtain over the visual field. Pain, redness, and double vision are less common.

Question 5 of 5

The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:

Correct Answer: B

Rationale: This goal is helpful, but rest is essential during the acute phase. Rest is essential for healing to occur and for pain to be relieved. This goal is important, but rest is essential. This goal should be part of the plan of care, but it is not the priority during the acute phase.

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