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

Questions 149

NCLEX-RN

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Question 1 of 5

A client is scheduled for a CT with and without contrast to rule out diverticulitis. Which medication on the client's medication list would be of concern to the nurse?

Correct Answer: C

Rationale: Metformin should be held before and after contrast CT due to the risk of lactic acidosis if renal function is impaired by contrast dye.

Question 2 of 5

The nurse is caring for a client with irritable bowel syndrome. Irritable bowel syndrome is characterized by:

Correct Answer: B

Rationale: IBS is characterized by alternating constipation and diarrhea, often triggered by stress or diet, without structural abnormalities.

Question 3 of 5

Which set of vital signs would best indicate an increase in intracranial pressure?

Correct Answer: A

Rationale: Increased intracranial pressure (ICP) is indicated by Cushing's triad: widened pulse pressure (e.g., BP 180/70), bradycardia (pulse 50), and irregular respirations. Temperature elevation may occur but is less specific.

Question 4 of 5

A client has been diagnosed with pernicious anemia. What breakfast should the nurse suggest to increase dietary B12?

Correct Answer: D

Rationale: Pernicious anemia requires dietary B12 (found in eggs, meat, milk). Other options lack significant B12.

Question 5 of 5

A 15-year-old client is rushed to the ER after taking an entire bottle of acetaminophen (Tylenol) in a suicide attempt. The nurse's priority is obtaining which lab results?

Correct Answer: A

Rationale: Acetaminophen overdose causes hepatotoxicity. AST and ALT levels assess liver damage, which is the priority.

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