NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A client is diagnosed with post-traumatic stress disorder following a rape by an unknown assailant. The nurse should give priority to:

Correct Answer: A

Rationale: A supportive environment fosters trust and safety, critical for a client with PTSD to begin processing trauma.

Question 2 of 5

A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

Correct Answer: D

Rationale: MRSA requires skin-to-skin contact for transmission, prevented by hand washing, gloves, and gowns under contact precautions.

Question 3 of 5

When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?

Correct Answer: D

Rationale: Dietary intake, particularly of phosphorus-rich foods, is the most significant factor in assessing hyperphosphatemia risk, as excessive intake can elevate serum phosphate levels.

Question 4 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 5 of 5

The nurse is preparing to administer the first dose of intravenous immunoglobulin (IVIG) to a 50-year-old female adult client admitted to the hospital with Guillain-Barre syndrome. Which nursing intervention is appropriate regarding administration?

Correct Answer: B

Rationale: Monitoring vital signs before and during IVIG infusion detects adverse reactions (e.g., anaphylaxis) early, ensuring client safety.

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