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Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:

Correct Answer: B

Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.

Question 2 of 5

Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

Correct Answer: A

Rationale: Autosomal recessive disorders require both parents to be carriers; affected newborns typically have unaffected carrier parents.

Question 3 of 5

The nurse is preparing to test a client who has the herpes virus. Which of the following tests should the nurse perform?

Correct Answer: C

Rationale: The Tzanck test is used to diagnose herpes virus infections by examining cells from a lesion for characteristic changes.

Question 4 of 5

The nurse is admitting a client with a suspected duodenal ulcer. The client will most likely report that his abdominal discomfort decreases when he:

Correct Answer: C

Rationale: Eating a meal or snack neutralizes stomach acid, temporarily relieving discomfort in duodenal ulcers.

Question 5 of 5

A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?

Correct Answer: C

Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action

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