2024 January Nclex Practice

2024 (January) Nclex Practice ScienceMedicineNursing miyarae121 Save A nurse is caring for a client who has a depressed skull fracture of the bone that makes up the larger part of the upper and side wall of the cranium. This fracture is located on which of the following bones?

• sphenoid
• occipital
• parietal
• frontal

Parietal -sphenoid forms part of face -occipital is the back of the skull -frontal is the front of the skull

What is the primary dietary alteration for a client who has heart failure?Sodium Restriction

ex: turkey sandwich with whole-wheat bread

A nurse is caring for a clinet who has multiple sclerosis and is receiving interferon beta-1a.The nurse should identify that which of the following client statements indicates a potential adverse effect of the medication?

• my body aches all over
• i have abdominal cramping
• my hair seems to be thinning
• it hurts when i urinate

My body aches all over -adverse effects of interferon beta-1a include flu-like symptoms A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which of the following is the purpose of these treatments?

• to encourage deep breaths
• to mobilize secretions in the airways
• to dilate the bronchioles
• to stimulate the cough reflex

To mobilize secretions in the airways

• the purpose is to loosen and promote the drainage of secretions from the lungs

A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpse of the test is/ Which of the following responses should the nurse provide?

• this test will determine if you are likely to deliver within the next week
• this test will help determine if your baby is healthy
• this test can see how you baby responds when you have contractions
• this test will determine if you're baby's lungs are mature

This test will help determine if your baby is healthy

• This NST is used as a prenatal fetal assessment, it tracks fetal heart rate patterns expected

with fetal movement and can help identify fetal distress

A nurse cares for a client receiving chemotherapy. The latest blood work shows:

platelet count 18,000/mm3 WBC count of 5,000/mm3 Which intervention does the nurse implement?

• respiratory transmission precautions
• contact transmission precautions
• bleeding precautions
• neutropenic precautions

Bleeding precautions -normal platelet count is 150,000-400,000/mm3 bleeding precautions should be implemented with a platelet count less than

A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?

• douche after vaginal intercourse
• wipe from front to back after defecation
• avoid foods that are high in phosphate
• add yogurt to your diet regularly

Wipe from front to back after defecation -pyelonephritis (renal infection) -phosphate can help kidney stones -yogurt helps with genital tract infections A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the bedside for this client?

• cardiac monitor
• defibrillator
• thoracotomy tray
• tracheostomy tray

Tracheostomy tray -laryngeal edema is common after thyroidectomy, which can result in airway obstruction and emergency intubation can be difficult due to the swelling so a nurse should have this tray -thoracotomy = for chest tube insertion