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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A neonate has severe congenital abnormalities that make death imminent, and the NICU team believes that further attempts at treatment or feeding are not warranted and that palliative care only should be provided. When speaking with the parents about this, which of the following is the best approach?

Correct Answer: B

Rationale: Focusing on comfort measures (
B) communicates compassionately that palliative care prioritizes the neonate's comfort, aligning with the parents' emotional needs. Withholding food/treatment (
A) is harsh, futility (
C) is blunt, and letting nature take its course (
D) lacks clarity.

Question 2 of 5

The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.

Correct Answer: A, D, E

Rationale: Providing community resources, social worker contact, and home safety information supports the family’s decision and promotes safety. Discussing provider disapproval or assisted living advantages is inappropriate.

Question 3 of 5

An adolescent client with cystic acne has a prescription for Accutane (isotretinoin). Which lab work is needed before beginning the medication?

Correct Answer: C

Rationale: A liver profile is required before starting isotretinoin due to its potential hepatotoxicity, ensuring safe administration.

Question 4 of 5

The nurse is preparing to teach a client about the prescribed furosemide (Lasix). The nurse should instruct the client about which adverse effect?

Correct Answer: B

Rationale: Furosemide can cause electrolyte imbalances, such as hypokalemia, leading to leg cramps. Other effects are less common.

Question 5 of 5

A 4-year-old male is admitted to the unit with nephrotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:

Correct Answer: B

Rationale: Elevating the scrotum reduces edema by promoting fluid drainage, decreasing discomfort.

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