Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Questions with Answers Questions

Extract:


Question 1 of 5

A 28-year-old female client is prescribed danazol (Danocrine) for endometriosis. The nurse should instruct the client to report:

Correct Answer: D

Rationale: Hair loss is a significant side effect of danazol, a synthetic androgen, and should be reported, as it may indicate need for dose adjustment or alternative treatment.

Question 2 of 5

On entering a toddler's room, the nurse finds the mother sitting about 8 feet from the child and watching television while the toddler is screaming. Which of the following is the most appropriate response by the nurse?

Correct Answer: C

Rationale: This response seeks to understand the situation without judgment, encouraging the mother to explain the toddler's distress.

Question 3 of 5

Your client has presented in the emergency department with a sudden onset of shortness of breath, dysphagia, dyspnea, coughing, and pain in the chest, arms, neck, and back. Which of the following would you most likely suspect?

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Correct Answer: C

Rationale: Sudden onset of these symptoms, especially chest and back pain, suggests a dissected thoracic aortic aneurysm, a life-threatening condition requiring urgent intervention.

Question 4 of 5

A multigravid client at 34 weeks' gestation who is leaking amniotic fluid has just been hospitalized with a diagnosis of preterm premature rupture of membranes and preterm labor. The client's contractions are 20 minutes apart, lasting 20 to 30 seconds. Her cervix is dilated to 2 cm. The nurse reviews the physician orders (see chart). Which of the following orders should the nurse initiate first?

Correct Answer: A

Rationale: Fetal and contraction monitoring is the priority to assess fetal well-being and labor progression, guiding further interventions.

Question 5 of 5

A nurse performs care on the client's Hickman catheter according to hospital policy. The client develops an infection and is considering litigation. The nurse's practice is:

Correct Answer: B

Rationale: Respondeat superior is Latin for 'The master is responsible for the acts of his servant'. The nurse, as an employee of the hospital, acted according to the established policy of the hospital. Because the nurse followed hospital policy, it is unlikely that this incident involved malpractice, negligence, or tort law. (CN: Management of care; CL: Evaluate)

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