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NCLEX NCLEX-RN Exam Questions
National Council Licensure Examination - NCLEX-RN (Page 13 )

Updated On: 21-Feb-2026
Page 13 of 345
PDF with 862 Questions

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

  1. Playing cards with other clients
  2. Working crossword puzzles
  3. Playing tennis with a staff member
  4. Sewing beads on a leather belt

Answer(s): C

Explanation:

(A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.



In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

  1. Auscultating bilateral breath sounds
  2. Palpating for presence of crepitus
  3. Palpating for trachial deviation
  4. Auscultating heart sounds

Answer(s): C

Explanation:

(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the heart's point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.



In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

  1. Auscultating bilateral breath sounds
  2. Palpating for presence of crepitus
  3. Palpating for trachial deviation
  4. Auscultating heart sounds

Answer(s): C

Explanation:

(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the heart's point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.



The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

  1. Exercise should be performed 30 minutes before meals.
  2. A snack may be needed before and/or during exercise.
  3. Hyperglycemia may occur 2­4 hours after exercise.
  4. The blood glucose level should be 100 mg or below before exercise is begun.

Answer(s): B

Explanation:

(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.



The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

  1. Exercise should be performed 30 minutes before meals.
  2. A snack may be needed before and/or during exercise.
  3. Hyperglycemia may occur 2­4 hours after exercise.
  4. The blood glucose level should be 100 mg or below before exercise is begun.

Answer(s): B

Explanation:

(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.






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