Questions 150

NCLEX-RN

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Question 1 of 5

A client with antisocial personality disorder tells the nurse, 'I punched the guy out because he deserved it and then the cops arrested me.' Which of the following responses would be most helpful to the client?

Correct Answer: B

Rationale: Explaining consequences (legal trouble) helps the client understand the impact of their actions, aligning with therapeutic communication for antisocial personality disorder.

Question 2 of 5

The nurse is caring for a client receiving chemotherapy. Which precaution is most important?

Correct Answer: D

Rationale: Monitoring for fever is critical, as chemotherapy increases infection risk due to immunosuppression.

Question 3 of 5

A client with a history of cirrhosis is admitted with esophageal varices. The nurse should monitor the client for which of the following complications?

Correct Answer: A, B

Rationale: Esophageal varices can rupture, causing hematemesis and hypotension.

Question 4 of 5

A 13-year-old client is dying of cancer and struggling with the emotional aspects of this. When providing care for this client, the nurse should incorporate the developmental tasks for this age. According to Erikson's developmental model, the child normally is expected to be working on which of the following psychosocial issues?

Correct Answer: A

Rationale: Adolescents (ages 12–18) focus on identity vs. role confusion, developing a sense of self and personal identity.

Question 5 of 5

A client is prescribed diphenhydramine 1% as a topical agent for allergic dermatosis. The nurse evaluates that the medication is having the intended effect when the client reports relief of what complaint?

Correct Answer: B

Rationale: Diphenhydramine is an antihistamine medication that has many uses. When used as a topical agent on the skin, it reduces the symptoms of allergic reaction, such as itching or urticaria. It does not act to relieve pain, headache, or skin redness.

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