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

Questions 157

NCLEX-RN

NCLEX-RN Test Bank

NCLEX-RN Exam Practice Questions

Extract:


Question 1 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 2 of 5

A client with a history of sarcoidosis is admitted with complaints of dyspnea. The nurse should give priority to:

Correct Answer: A

Rationale: Sarcoidosis can cause lung granulomas, leading to dyspnea, so monitoring respiratory status is critical to assess lung function.

Question 3 of 5

A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:

Correct Answer: B

Rationale: Meperidine given close to delivery can cause neonatal respiratory depression due to its sedative effects crossing the placenta. The nurse should question the timing of the order.

Question 4 of 5

The client is prescribed metronidazole (Flagyl) for a parasitic infection. Which side effect should the nurse monitor for?

Correct Answer: A

Rationale: Metronidazole commonly causes a metallic taste in the mouth. Hypotension, weight gain, and fever are not typical side effects.

Question 5 of 5

The nurse is teaching a client with a history of allergic rhinitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: Avoiding allergens reduces symptoms in allergic rhinitis, such as sneezing and nasal congestion.

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