NCLEX Questions, NCLEX RN Practice Tests Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Question 1 of 5

A client receiving high doses of hydromorphone (Dilaudid®) develops acute respiratory depression with a drop in blood pressure. Which of the following treatments is most indicated?

Correct Answer: A

Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Naproxen (
B), flumazenil (
C), and nortriptyline (
D) are not appropriate.

Question 2 of 5

The nurse is assessing a client following the removal of a pituitary tumor. The nurse notes that the urinary output has increased and that the urine is very dilute. The nurse should give priority to:

Correct Answer: A

Rationale: Increased dilute urine suggests diabetes insipidus, a complication of pituitary surgery, requiring immediate physician notification for evaluation and treatment.

Question 3 of 5

A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Artificial sweeteners like aspartame contain phenylalanine, which is harmful in PKU, so the client's statement indicates a need for further teaching.

Question 4 of 5

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

Correct Answer: D

Rationale: Contractions 5 minutes apart indicate the onset of active labor, prompting further evaluation.

Question 5 of 5

A public health nurse is preparing an educational handout about rubella, commonly known as measles. All of the following statements should be included in the informational handout EXCEPT

Correct Answer: B

Rationale: Rubella’s incubation period is 12-23 days, not 3-7 days. It spreads via respiratory droplets (coughing/sneezing), not skin-to-skin. Symptoms include fever and rash, but runny nose and cough are more typical of measles.

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