Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions with Answers Questions

Extract:


Question 1 of 5

A 10-day postpartum breast-feeding client telephones the postpartum unit reporting a reddened, painful breast and elevated temperature. Based on assessment of the client's complaints, which action should the nurse tell the client to do?

Correct Answer: C

Rationale: Based on the signs and symptoms presented by the client (particularly the elevated temperature), the primary health care provider needs to be notified because an antibiotic that is tolerated by the infant, as well as the mother, may be prescribed. The mother should continue to nurse on both breasts, but should start the infant on the unaffected breast while the affected breast lets down.

Question 2 of 5

Conflicts, according to Lewin, include which types of conflict? Select all that apply.

Correct Answer: B,C,F,G

Rationale: According to Lewin's conflict theory, the types of conflict include Avoidance-Avoidance , Approach-Approach , Double Approach-Avoidance (F), and Approach-Avoidance (G). Conceptualization, resolvable, and unresolvable conflicts are not part of Lewin's framework.

Question 3 of 5

The nurse instills 5 mL of normal saline before suctioning a client's tracheostomy tube. The instillation is effective when:

Correct Answer: A

Rationale: Instilling normal saline thins secretions, facilitating effective suctioning of the tracheostomy tube.

Question 4 of 5

A client with a history of type 2 diabetes mellitus is prescribed liraglutide (Victoza). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Liraglutide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.

Question 5 of 5

Bacterial conjunctivitis has affected several children at a local day care center. A nurse should advise which measure to minimize the risk of infection?

Correct Answer: C

Rationale: Thorough hand washing is the most effective measure to prevent the spread of bacterial conjunctivitis.

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