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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for

Correct Answer: A

Rationale: standard, unchanging procedure

Question 2 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 3 of 5

The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?

Correct Answer: B

Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.

Question 4 of 5

The nurse is preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?

Correct Answer: A

Rationale: Beer, anchovies, and liver are high in purines, which exacerbate gout. Other foods listed are not primary triggers.

Question 5 of 5

The physician has ordered aerosol treatments, chest percussion, and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

Correct Answer: C

Rationale: These therapies aim to dilate airways (via aerosols) and mobilize thick mucus (via percussion and drainage) to improve breathing in cystic fibrosis.

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