NCLEX Questions, NCLEX RN Nursing Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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NCLEX-RN Test Bank

NCLEX RN Nursing Exam Questions

Extract:


Question 1 of 5

A client tells the nurse that she takes St. John's wort (hypericum perforatum) three times a day for mild depression. The nurse should tell the client that:

Correct Answer: C

Rationale: St. John's wort increases photosensitivity, so sunscreen use may paradoxically increase skin reactions; clients should be cautioned about sun exposure.

Question 2 of 5

The nurse is caring for a client with a closed head injury. Which finding should be reported to the doctor immediately?

Correct Answer: D

Rationale: Unequal pupils suggest increased intracranial pressure or neurological deterioration in a head injury, requiring immediate reporting. The other findings are within normal or less urgent ranges.

Question 3 of 5

The nurse is preparing to administer insulin to a client with type 1 diabetes. The client is to receive 10 units of NPH insulin and 5 units of regular insulin in the same syringe. Which action is correct?

Correct Answer: A

Rationale:
To prevent contamination, draw up regular (clear) insulin first, then NPH (cloudy). Mixing in a vial (
C) is incorrect, and separate injections (
D) are unnecessary.

Question 4 of 5

An 83-year-old client has been hospitalized following a fall in his home. He has developed a possible fecal impaction. Which of the following assessment findings would be most indicative of a fecal impaction?

Correct Answer: C

Rationale: Liquid stool can pass around an impaction, making it a key indicator. The other findings are not specific to fecal impaction.

Question 5 of 5

A client is admitted with suspected pneumothorax. Which finding is most significant in confirming the diagnosis?

Correct Answer: A

Rationale: Tracheal deviation to the unaffected side is a hallmark of tension pneumothorax, indicating mediastinal shift due to air trapping, confirming the diagnosis.

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