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

Questions 149

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Extract:


Question 1 of 5

When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:

Correct Answer: B

Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.

Question 2 of 5

A client with a diagnosis of passive-aggressive personality disorder is seen at the local mental health clinic. A common characteristic of persons with passive-aggressive personality disorder is:

Correct Answer: B

Rationale: Passive-aggressive personality disorder is characterized by underlying hostility expressed indirectly through behaviors like procrastination, stubbornness, or intentional inefficiency.

Question 3 of 5

An adolescent client is seen by the nurse at a school where a fatal shooting incident occurred on campus 3 months earlier. The nurse documents that the client is experiencing flashbacks, avoiding the location of the shooting, having angry outbursts, and experiencing a loss of interest in playing his favorite musical instrument. The nurse suspects the client is experiencing post-traumatic stress disorder. Which intervention would be the best for the nurse to implement?

Correct Answer: B

Rationale: Referring to the multidisciplinary crisis team ensures comprehensive, coordinated care for suspected PTSD, leveraging expertise beyond the nurse’s scope.

Question 4 of 5

The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?

Correct Answer: B

Rationale: Sternal bruises suggest potential chest trauma, requiring priority.

Question 5 of 5

The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

Correct Answer: C

Rationale: Rest periods help manage fatigue and muscle weakness, common in post-polio syndrome.

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