NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

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Extract:


Question 1 of 5

A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

Correct Answer: C

Rationale: A volume control set allows the nurse to control the amount of fluid administered over a set period.

Question 2 of 5

The nurse is caring for a client with a history of multiple sclerosis. Which intervention is most appropriate to prevent complications?

Correct Answer: C

Rationale: Hot baths can exacerbate multiple sclerosis symptoms by increasing body temperature, causing fatigue or weakness. Weight-bearing exercise is encouraged, antibiotics are not routine, and fluid restriction is harmful.

Question 3 of 5

A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:

Correct Answer: A

Rationale: A child with a subdural hematoma has increased ICP. Crying may significantly increase this pressure.

Question 4 of 5

The client is prescribed tamsulosin (Flomax) for benign prostatic hyperplasia. Which side effect should the nurse monitor for?

Correct Answer: B

Rationale: Tamsulosin, an alpha-blocker, causes vasodilation, leading to orthostatic hypotension as a common side effect. Hypotension (not hypertension), bradycardia, and hyperglycemia are less likely.

Question 5 of 5

The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.

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