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

Questions 158

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Question 1 of 5

A child is admitted with suspected epiglottitis. Which action is not a part of the nursing care?

Correct Answer: B

Rationale: Assessing the throat with a tongue blade is contraindicated in suspected epiglottitis as it may trigger airway obstruction. Vital signs oxygen and antibiotics are appropriate interventions.

Question 2 of 5

The nurse is caring for a client with a history of a pneumothorax who is being prepared for discharge. The nurse should teach the client to:

Correct Answer: A

Rationale: Air travel can cause pressure changes that risk pneumothorax recurrence. Sleeping position, lifting, and fluids are secondary, with lifting typically restricted.

Question 3 of 5

The client is admitted with a diagnosis of acute pancreatitis. Which position is most comfortable for the client?

Correct Answer: D

Rationale: Side-lying with knees flexed reduces pressure on the inflamed pancreas, providing comfort in acute pancreatitis. Supine, prone, and Fowler’s positions may increase discomfort.

Question 4 of 5

The nurse is caring for a client with a history of schizophrenia. Which medication is most likely to be prescribed?

Correct Answer: B

Rationale: Risperidone, an antipsychotic, is used to treat schizophrenia by managing hallucinations and delusions. Fluoxetine and bupropion are antidepressants, and clonazepam is for anxiety.

Question 5 of 5

A patient with a PCA pump (patient controlled analgesia) asks the nurse if he can become overdosed with pain medication using this machine. Which statement made by the nurse is correct?

Correct Answer: B

Rationale: PCA pumps have a lockout interval and dose limits programmed to prevent overdose, ensuring safe administration of pain medication. The other statements are inaccurate: PCA requires patient action, does not deliver large doses every four hours, and is not based on ‘need’ detection.

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