NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?

Correct Answer: D

Rationale: may be confused and stuporous

Question 2 of 5

A triage nurse is reviewing messages from four clients. The nurse's priority is which client?

Correct Answer: B

Rationale: Jaw and back pain intensifying rapidly in a 42-year-old female suggests a possible myocardial infarction, a life-threatening emergency requiring immediate attention.

Question 3 of 5

The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?

Correct Answer: A

Rationale: Verifying the client’s identity using two identifiers (name and date of birth on wristband) ensures medication safety per protocol.

Question 4 of 5

The nurse is caring for a client with Crohn's disease. How should the nurse educate the client regarding nutrition and hydration?

Correct Answer: C

Rationale: High-calorie, low-fiber, high-protein, and high-vitamin foods support nutrition in Crohn’s disease while minimizing irritation to the inflamed bowel.

Question 5 of 5

The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

Correct Answer: B

Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.

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