Questions 150

NCLEX-RN

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Question 1 of 5

Which of the following skin care instructions would be appropriate for a client receiving radiation therapy?

Correct Answer: A

Rationale: Avoiding straight-edge razors prevents skin irritation in the radiated area, which is sensitive.

Question 2 of 5

A client with a history of chronic kidney disease is admitted with anemia. The nurse should expect to administer which of the following medications?

Correct Answer: A

Rationale: Epoetin alfa stimulates red blood cell production in chronic kidney disease-related anemia.

Question 3 of 5

The nurse assesses a client with diverticulitis and suspects peritonitis when which of the following symptoms is noted?

Correct Answer: B

Rationale: A rigid abdominal wall is a hallmark sign of peritonitis, indicating peritoneal inflammation, often due to perforation in diverticulitis.

Question 4 of 5

The client is having ototoxic effects of the vestibular branch of the acoustic nerve. The nurse should assess the client for which of the following? Select all that apply.

Correct Answer: A,C,D

Rationale: Ototoxicity affecting the vestibular branch causes vertigo, nausea, and ataxia due to balance disruption. Tinnitus and hearing loss are associated with cochlear branch damage.

Question 5 of 5

A 15-month-old child is admitted to the pediatric unit with the diagnosis of pneumonia and is placed in a mass test. Which following toys would be appropriate for this child?

Correct Answer: D

Rationale: Plastic blocks are safe and age-appropriate for a 15-month-old, promoting fine motor skills without posing a choking hazard or requiring mobility restricted by a mist tent.

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