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

Questions 148

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Question 1 of 5

The nurse is teaching a client with a new diagnosis of chronic lymphocytic leukemia about infection prevention. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding crowds and sick individuals reduces the risk of infection in immunocompromised clients

Question 2 of 5

A trauma client is admitted to the emergency room following a motor vehicle accident. Examination reveals that the left side of the chest moves inward when the client inhales. The finding is suggestive of:

Correct Answer: D

Rationale: Inward chest movement on inhalation indicates flail chest, where multiple rib fractures cause a segment of the chest wall to move independently.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client avoid?

Correct Answer: B

Rationale: sardines are high in purines, which can exacerbate gout by increasing uric acid levels

Question 4 of 5

A client with Addison's disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

Correct Answer: C

Rationale: Addison's disease causes sodium loss and potassium retention, so monitoring sodium and potassium levels is essential during glucocorticoid therapy.

Question 5 of 5

A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: A goiter associated with hyperthyroidism may cause exophthalmos (bulging eyes) due to increased thyroid hormone levels.

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