Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions with Answers Questions

Extract:


Question 1 of 5

A 10-year-old child has the following blood glucose readings during a 24-hour period. Which reading requires the most immediate intervention?

Correct Answer: A

Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate intervention to prevent neurological complications.

Question 2 of 5

A client with a suspected diagnosis of lung cancer has a bronchoscopy with biopsy. Following the procedure the nurse should:

Correct Answer: B

Rationale: Monitoring for pneumothorax is critical after a bronchoscopy with biopsy, as it is a potential complication due to lung puncture.

Question 3 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is prescribed fluticasone (Flovent). The nurse should instruct the client to:

Correct Answer: B

Rationale: Rinsing the mouth after using fluticasone prevents oral candidiasis, a common side effect of inhaled corticosteroids.

Question 4 of 5

The nurse is preparing to suction a tracheostomy for a client with methicillin resistant staphylococcus aureus (MRSA) (see fi gure). The nurse should:

Question Image

Correct Answer: D

Rationale: The nurse is wearing protective personnel equipment appropriately for suctioning the client: goggles, gown and respirator mask. It is not necessary to wear a powered air purifying respirator face shield to suction a tracheostomy. A surgical mask does not provide maximum protection.

Question 5 of 5

A client with a history of chronic kidney disease is prescribed sevelamer (Renagel). The nurse should instruct the client to:

Correct Answer: A

Rationale: Sevelamer should be taken with meals to bind phosphate in the gut.

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