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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

Correct Answer: B

Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.

Question 2 of 5

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300 mL. The nurse should give priority to:

Correct Answer: D

Rationale: A chest tube output of 300 mL per hour is excessive and may indicate hemorrhage, requiring immediate physician notification.

Question 3 of 5

The chart of a client hospitalized for a total hip repair reveals that the client is colonized with MRSA. The nurse understands that the client:

Correct Answer: A

Rationale: MRSA colonization means the bacteria are present without causing active infection, so the client is asymptomatic but requires contact precautions.

Question 4 of 5

The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?

Correct Answer: D

Rationale: The prone position with a pillow under the shoulders and abdomen provides optimal access to the kidney for a renal biopsy.

Question 5 of 5

The nurse has just received the shift report and is preparing to make rounds. Which client should be seen first?

Correct Answer: C

Rationale: The client with shortness of breath is at highest risk for respiratory distress and requires immediate assessment.

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