Questions 108

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NCLEX RN Questions Medical Surgical Nursing Questions

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Question 1 of 5

The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the nurse to discontinue prone positioning and return the client to the supine position? Select all that apply.

Correct Answer: C,D,E

Rationale: Decreased SpO2/PO2 (
C), tachycardia with hypotension (
D), and facial skin breakdown/edema (E) indicate complications requiring a return to supine position. Family visits and suctioning needs are manageable in prone position.

Question 2 of 5

The client tells the nurse that since his diagnosis of stomach cancer, he has been having trouble sleeping and is frequently preoccupied with thoughts about how his life will change. He says, 'I wish my life could stay the same.' Based on this information, which one of the following nursing diagnoses would be appropriate at this time?

Correct Answer: C

Rationale: The client's statement and symptoms suggest grieving related to the life-altering diagnosis of stomach cancer. This diagnosis best captures the emotional response to the anticipated changes.

Question 3 of 5

Which of the following groups would benefit most from education regarding potential risk factors for melanoma?

Correct Answer: B

Rationale: Senior citizens with repeated exposure to UV rays are at the highest risk for melanoma due to cumulative skin damage. Education on risk factors like UV exposure is most beneficial for this group.

Question 4 of 5

A client who had a left thoracoscopy sustained an injury secondary to the surgery position. The nurse should assess the client for:

Correct Answer: C

Rationale: Thoracoscopy positioning (lateral decubitus) can compress nerves in the arm, causing tingling due to brachial plexus injury. Footdrop or Achilles reflex issues are unrelated to this position.

Question 5 of 5

A client reports that she has gained weight and that her face and body are 'rounder,' while her legs and arms have become thinner. A tentative diagnosis of Cushing's disease is made. When examining this client, the nurse would expect to find:

Correct Answer: C

Rationale: Cushing's disease causes thin, fragile skin due to excess cortisol, leading to easy bruising.

Similar Questions

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While the nurse is providing preoperative teaching, the client says, 'I hate the idea of being an invalid after they cut off my leg.' The nurse's most therapeutic response should be:
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Which finding indicates a properly functioning ileal conduit?

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