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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Practice Exam Questions

Extract:


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

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 3 of 5

A client with angina is experiencing migraine headaches. The physician has prescribed Sumatriptan succinate (Imitrex). Which nursing action is most appropriate?

Correct Answer: A

Rationale: Sumatriptan is contraindicated in clients with angina due to its vasoconstrictive effects, which can exacerbate ischemia. The nurse should question the prescription.

Question 4 of 5

The nurse is reflecting on the client-nurse relationship. Which statement is correct regarding the orientation (introductory) phase of the relationship?

Correct Answer: A

Rationale: The orientation phase focuses on establishing trust and identifying the client’s strengths and limitations to guide care.

Question 5 of 5

A postoperative client whose oxygen saturation has been stable at 96% to 98% suddenly shows a drop to 80%. What initial response is most indicated?

Correct Answer: C

Rationale: Assessing and repositioning the pulse oximeter (
C) checks for false readings first. Oxygen (
B), notifying physician (
A), or ABGs (
D) follow if needed.

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