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

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

Which of the following findings would be expected in the infant with biliary atresia?

Correct Answer: C

Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.

Question 2 of 5

A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years. The nurse understands that surgery is recommended to:

Correct Answer: A

Rationale: Surgery is recommended for an inguinal hernia to prevent strangulation, which can lead to bowel obstruction and tissue necrosis.

Question 3 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

Question 4 of 5

The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?

Correct Answer: A

Rationale: A mask is the most appropriate PPE to prevent transmission of respiratory infections from a client with a cough, as it protects against droplet spread.

Question 5 of 5

A client is admitted to an inpatient psychiatric unit after being found unresponsive as a result of prescribed opioid drugs. Upon awakening she attempts to get out of bed and is unsteady. The nurse is concerned that the client will fall. The doctor ordered a vest restraint to be applied as necessary to maintain client safety. The client refuses the restraints. The nurse should take which of the following actions?

Correct Answer: A

Rationale: Moving the client closer to the nursing station allows close monitoring without violating the client’s refusal of restraints, prioritizing safety and autonomy.

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