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Questions 149

NCLEX-RN

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Question 1 of 5

A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:

Correct Answer: A

Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.

Question 2 of 5

Which of the following is NOT considered a risk factor for developing breast cancer?

Correct Answer: C

Rationale: Early menarche, nulliparity, and uterine cancer history increase breast cancer risk due to prolonged estrogen exposure or shared risk factors. Early menopause reduces risk by decreasing estrogen exposure.

Question 3 of 5

The nurse’s INITIAL priority when managing a physically assaultive client is to

Correct Answer: C

Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client

Question 4 of 5

The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?

Correct Answer: C

Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.

Question 5 of 5

The nurse is performing the skill of intramuscular injection by the Z track method. Which technique would the nurse utilize to prevent tracking of the medication?

Correct Answer: D

Rationale: The Z-track method involves drawing up 0.2 mL of air to create an air lock, preventing medication leakage into subcutaneous tissue. The other options don't address tracking.

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