Questions 151

NCLEX-RN

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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

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 3 of 5

A client is prescribed buspirone (BuSpar) 5mg two times a day. Which of the following statements indicates that the client has understood the nurse's teaching about this drug? Select all that apply.

Correct Answer: D,E

Rationale: Buspirone reduces anxiety and improves focus without causing sedation or muscle relaxation. Expecting complete anxiety relief by tomorrow is unrealistic, as it takes weeks to be effective.

Question 4 of 5

When a client of Mexican American descent tells the nurse that she treated her infection by drinking milk, the nurse interprets the client's remark as:

Correct Answer: B

Rationale: In Mexican American culture, milk may be used as a traditional remedy for certain conditions, reflecting the ‘hot-cold' disease concept. It's not necessarily confusion, a laxative, or a dietary issue.

Question 5 of 5

The nurse is teaching a client with a new diagnosis of hypertension about dietary modifications. Which of the following recommendations is most effective?

Correct Answer: B

Rationale: Reducing saturated fat intake lowers cholesterol and blood pressure, benefiting hypertension management.

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