Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse monitors a client diagnosed with silicosis for emotional reactions related to the chronic respiratory disease. Which emotional reaction, when expressed by the client, indicates a need for immediate intervention?

Correct Answer: C

Rationale: Suicidal ideation is not a normal emotional reaction with this condition. If it is expressed, it warrants immediate intervention. Common emotional reactions to a disease such as massive pulmonary fibrosis may be the same as for chronic airflow limitation and include anxiety, ineffective coping, and depression.

Question 2 of 5

A 10-year-old child is admitted with a brain tumor. Which assessment made by the nurse is most critical to report to the child's physician?

Correct Answer: B

Rationale: Difficulty recalling the day of the week suggests neurological impairment, which is critical to report in a child with a brain tumor, as it may indicate tumor progression or increased intracranial pressure.

Question 3 of 5

The nurse is assessing a neonate born to a diabetic mother. Which of the following findings should the nurse expect to see in the infant?

Correct Answer: C

Rationale: Neonates born to diabetic mothers are often macrosomic (large size) due to maternal hyperglycemia. Hypertonia, hyperactivity, and scaly skin are not typical findings.

Question 4 of 5

Which of the following are the five Rights of Supervision?

Correct Answer: B

Rationale: The five Rights of Supervision are the right task, right circumstances, right person, right direction or communication, and right supervision or feedback . These ensure that delegated tasks are performed safely and effectively by the appropriate personnel under proper guidance.

Question 5 of 5

Two days after being placed in a cast for a fracture, the client suddenly develops chest pain and dyspnea. The client is confused and has an elevated temperature. The nurse should assess the client for:

Correct Answer: D

Rationale: Chest pain, dyspnea, confusion, and fever suggest fat embolism syndrome, a complication of fractures, particularly within 48 hours.

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