Questions 53

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NCLEX RN Questions Nursing Fundamentals Questions

Question 1 of 5

The nurse is caring for a client with increased intracranial pressure (ICP). The nurse plans on positioning the client's head of bed at

Correct Answer: B

Rationale: A 30-40 degree elevation optimizes cerebral venous drainage, reducing ICP. Lower angles may increase ICP, and 25 degrees is suboptimal.

Question 2 of 5

The nurse is having difficulty locating a vein, to start intravenous therapy, on a client who is dark-skinned. Which of these devices or procedures may be of benefit to you at this time?

Correct Answer: C

Rationale: A transillumination device uses light to visualize veins, aiding IV insertion in clients with dark skin or poor vein visibility. Doppler assesses blood flow, surgical cutdown is invasive, and sonography is not typically used for peripheral IVs.

Question 3 of 5

The nurse is teaching a client with hypothyroidism. The nurse should recommend that the client increase their intake of foods rich in

Correct Answer: A

Rationale: Fiber aids digestion, often slowed in hypothyroidism. Saturated fats, calcium, and potassium are not specifically indicated.

Question 4 of 5

The nurse is performing a focused physical assessment on a client's gastrointestinal system. Place the following actions in the order in which they should be performed, starting from first to last.

Order the Items

Source Container

Place pillows beneath the client's knees.
Ask the client to void.
Inspect the abdomen.
Palpate the abdomen.
Auscultate all four quadrants of the abdomen.
Position the client supine with the knees bent and the arms at their side.

Correct Answer: B,F,C,E,D

Rationale: The correct order is: ask to void (
B), position supine (F), inspect (
C), auscultate (E), palpate (
D). Voiding and positioning prepare the client, and inspection precedes auscultation to avoid altering bowel sounds. Pillows are not standard.

Question 5 of 5

The nurse is preparing to insert a nasogastric tube (NGT) for a client with abdominal distention. The nurse should place the client in which position for this procedure?

Correct Answer: B

Rationale: A 90-degree head-of-bed elevation facilitates NGT insertion by aligning the esophagus and reducing aspiration risk. Other positions are less effective.

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