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

Questions 149

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Extract:


Question 1 of 5

What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

Correct Answer: A

Rationale: Glomerulonephritis often causes hypertension due to fluid retention and renal dysfunction.

Question 2 of 5

Which of the following are risk factors for developing glaucoma? Select all that apply.

Correct Answer: C,E

Rationale: Diabetes mellitus and hypertension increase glaucoma risk by affecting ocular blood flow and pressure. Asthma, anemia, and obesity are not direct risk factors.

Question 3 of 5

The nurse is caring for a client receiving peritoneal dialysis. Which of the following assessment findings would require an intervention by the nurse?

Correct Answer: C

Rationale: indicates peritonitis, also will see nausea and vomiting, anorexia, abdominal pain, tenderness, rigidity

Question 4 of 5

Which task should be assigned to the nursing assistant?

Correct Answer: C

Rationale: Feeding a client with dementia is within the nursing assistant's scope, as it involves basic care and does not require advanced skills.

Question 5 of 5

The nurse is assessing an ECG strip of a 42-year-old client and finds a regular rate greater than 100, a normal QRS complex, a normal P wave in front of each QRS, a PR interval between 0.12 and 0.20 seconds, and a P: QRS ratio of 1:1. What is the nurse's interpretation of this rhythm?

Correct Answer: B

Rationale: A regular rate >100 with normal P waves, QRS complexes, and PR interval indicates sinus tachycardia, a common response to stress, fever, or hypoxia.

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