Questions 150

NCLEX-RN

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Question 1 of 5

A client with a history of chronic kidney disease is admitted with anemia. The nurse should expect to administer which of the following medications?

Correct Answer: A

Rationale: Epoetin alfa stimulates red blood cell production in chronic kidney disease-related anemia.

Question 2 of 5

Which of the following is a risk factor for toxic shock syndrome (TSS)?

Correct Answer: D

Rationale: Using tampons only at night increases TSS risk due to prolonged use, allowing bacterial growth. Frequent changing and alternating with pads reduce risk.

Question 3 of 5

The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on which legal consideration?

Correct Answer: C

Rationale: Delegation of tasks by a registered nurse must comply with state statutes , which define the scope of practice and delegation authority for nurses and other healthcare team members within each state. These laws ensure that tasks are delegated to individuals who are legally qualified to perform them.

Question 4 of 5

A client with gastroesophageal reflux disease (GERD) reports chest discomfort that feels like heartburn, especially following each meal. After teaching the client to take antacids as prescribed, the nurse suggests that the client lie in which position during sleep?

Correct Answer: D

Rationale: The discomfort of reflux is aggravated by positions that allow the reflux of gastrointestinal contents. The client is instructed to remain upright for 1 to 2 hours after a meal and sleep with the head of the bed elevated to approximately 30 degrees (usually on 8- to 12-inch blocks). Lying flat will increase the episodes of reflux, resulting in chest discomfort.

Question 5 of 5

The antidote for heparin is:

Correct Answer: D

Rationale: Protamine sulfate rapidly reverses heparin's anticoagulant effects by binding to it, neutralizing its activity.

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