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Questions 158

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A common complaint of the client with an abdominal aortic aneurysm is:

Correct Answer: D

Rationale: A pulsating sensation in the periumbilical area is a classic symptom of an abdominal aortic aneurysm due to the expanding vessel. The other symptoms are less specific or unrelated.

Question 2 of 5

A client with hyperthyroidism is taking Eskalith (lithium carbonate) to inhibit thyroid hormone release. Which complaint by the client should alert the nurse to a problem with the client's medication?

Correct Answer: B

Rationale: Increased thirst and urination suggest lithium toxicity, as lithium can cause polyuria and polydipsia. Blurred vision and weight gain are less specific, and rhinorrhea is unrelated.

Question 3 of 5

A client with a history of chronic kidney disease is admitted with complaints of shortness of breath. The nurse should give priority to:

Correct Answer: A

Rationale: Shortness of breath in chronic kidney disease may indicate fluid overload, so administering diuretics is the priority.

Question 4 of 5

A client with a history of pneumonia is admitted with complaints of dyspnea. The nurse should give priority to:

Correct Answer: A

Rationale: Dyspnea in pneumonia indicates impaired gas exchange, so administering oxygen is the priority to improve oxygenation.

Question 5 of 5

Which stage of labor lasts from delivery of the baby to delivery of the placenta?

Correct Answer: B

Rationale: This stage is from complete dilatation of the cervix to delivery of the fetus. This is the correct stage for the definition. This stage lasts for about 2 hours after the delivery of the placenta. There is no fifth stage of labor.

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