Questions 150

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NCLEX RN Questions with Detailed Explanations Questions

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Question 1 of 5

A client with a history of asthma is prescribed a metered-dose inhaler with albuterol. The nurse should teach the client to:

Correct Answer: B

Rationale: Shaking the inhaler well before use ensures proper mixing of the medication for effective delivery.

Question 2 of 5

A client diagnosed with valvular heart disease is at risk for developing heart failure. What should the nurse assess as the priority when monitoring for heart failure?

Correct Answer: B

Rationale: Breath sounds are the best way to assess for the onset of heart failure. The presence of crackles or an increase in crackles is an indicator of fluid in the lungs caused by heart failure. The remaining options are components of the assessment but are less reliable indicators of heart failure.

Question 3 of 5

The nurse is assessing the perineal changes of a woman in the second stage of labor. The nurse expects to see which of the following changes?

Question Image

Correct Answer: D

Rationale: Crowning, when the fetal head is visible at the vaginal opening, is the expected perineal change in the second stage of labor, indicating imminent delivery.

Question 4 of 5

Your client has an allergy to both penicillin and latex. Which of these pathophysiological facts should you apply when you are providing to this client?

Correct Answer: A

Rationale: A sensitizing dose of penicillin can lead to anaphylaxis , a life-threatening allergic reaction, which is critical to consider when caring for a client with a penicillin allergy. The prevalence of dual allergies (C,
D) is not accurate, and distributive shock is not specific to a second dose.

Question 5 of 5

Which member of the multidisciplinary team would you most likely collaborate with when your pediatric client has had a traumatic amputation one or more months ago?

Correct Answer: D

Rationale: A prosthetist specializes in designing and fitting prosthetic limbs, making them the most appropriate team member to collaborate with for a pediatric client with a traumatic amputation.

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A client with a history of schizophrenia is prescribed quetiapine (Seroquel). The nurse should monitor the client for which of the following adverse effects?

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