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

Questions 149

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NCLEX-RN Test Bank

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Question 1 of 5

A child with cystic fibrosis is being treated with inhalation therapy with Pulmozyme (dornase alfa). A side effect of the medication is:

Correct Answer: C

Rationale: Pulmozyme, used to thin mucus in cystic fibrosis, can cause sore throat as a side effect due to irritation from inhalation.

Question 2 of 5

The client returns to the recovery room following repair of an abdominal aneurysm. Which finding would require further investigation?

Correct Answer: B

Rationale: Low urinary output (20 mL/hour) may indicate renal impairment or hypoperfusion, requiring further investigation.

Question 3 of 5

A nurse assessing a client charts his blood pressure as 134/86. The pulse pressure would be

Correct Answer: A

Rationale: Pulse pressure is calculated as systolic BP minus diastolic BP: 134 - 86 = 48 mmHg.

Question 4 of 5

Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

Correct Answer: A

Rationale: Balanced skeletal traction commonly uses a Steinman pin to stabilize fractures.

Question 5 of 5

A client is hospitalized with an acute myocardial infarction. Which nursing diagnosis reflects an understanding of the cause of acute myocardial infarction?

Correct Answer: B

Rationale: Impaired tissue perfusion due to coronary occlusion is the primary cause of acute myocardial infarction.

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