Questions 151

NCLEX-RN

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NCLEX-RN Test Bank

NCLEX RN Test Bank Questions PDF Questions

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Question 1 of 5

Which tool or scale would you use for a focused neurological assessment of your client?

Correct Answer: D

Rationale: The Rancho Los Amigos Scale is used for assessing levels of consciousness and cognitive recovery in patients with brain injuries, ideal for a focused neurological assessment.

Question 2 of 5

An adolescent tells the school nurse she thinks she has infectious mononucleosis. The nurse should next assess the client for?

Correct Answer: A

Rationale: Sore throat and malaise are hallmark symptoms of mononucleosis, requiring targeted assessment.

Question 3 of 5

A nurse is teaching a client about crutch walking. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: Crutches should be placed 6–10 inches to the side and front for stability. Weight is borne on hands, elbows are flexed, and the unaffected leg steps first.

Question 4 of 5

A client with a new colostomy asks the nurse how to prevent skin irritation around the stoma. What is the best response by the nurse?

Correct Answer: C

Rationale: A snug-fitting skin barrier and cleaning with mild soap prevent skin irritation by protecting the peristomal skin and maintaining hygiene without causing trauma.

Question 5 of 5

Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors:

Correct Answer: D

Rationale: The Triad Model of Case Management accurately describes the collaboration among the social worker, nursing case manager, and utilization review team to coordinate care and optimize outcomes.

Similar Questions

Which of the following is considered an internal disaster?
What condition should the nurse assess a client diagnosed with pernicious anemia for? Select all that apply.
An adult client is admitted to the emergency department after a burn injury. The burn initially affected the upper half of the client's anterior torso, and there were circumferential burns to the lower half of both of the arms. The client's clothes caught on fire, and the client ran causing subsequent burn injuries to the entire face (anterior half of the head), and the upper half of the posterior torso. Using the rule of nines, the extent of the burn injury would be what percent?
An adolescent with type 1 diabetes mellitus is hospitalized for appendicitis. He is weak and nauseated with poor skin turgor. The nurse notes a fruity odor to the client's breath. The client uses insulin. The nurse should suspect:
A client with a history of tuberculosis is prescribed isoniazid. Which supplement should the nurse administer concurrently?

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