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NCLEX RN Practice Questions with Answers Questions

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Question 1 of 5

A nurse is instructing a client about the use of nitroglycerin patches. The nurse should instruct the client to:

Correct Answer: A,C

Rationale: Nitroglycerin patches require a daily nitrate-free interval (typically at night) to prevent tolerance, and the site should be rotated daily to avoid skin irritation.

Question 2 of 5

A 10-year-old child has the following blood glucose readings during a 24-hour period. Which reading requires the most immediate intervention?

Correct Answer: A

Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate intervention to prevent neurological complications.

Question 3 of 5

A client whose condition remains stable after a myocardial infarction gradually increases his activity. Which of the following conditions should the nurse assess to determine whether the activity is appropriate for the client?

Correct Answer: C

Rationale: Dyspnea indicates inadequate oxygenation, suggesting the activity level may be too strenuous for the client's cardiac capacity post-myocardial infarction.

Question 4 of 5

A newborn infant receives the first dose of hepatitis B vaccine within 12 hours of birth. The nurse instructs the parent regarding the immunization schedule for this vaccine and should tell the parent that the second vaccine is administered at which time periods?

Correct Answer: D

Rationale: The vaccination schedule for an infant whose mother tests negative for hepatitis B consists of a series of 3 immunizations given at 0 months (birth), 1 to 2 months of age, and then 6 months after the initial dose. An infant whose mother tests positive receives hepatitis B immune globulin along with the first dose of the hepatitis vaccine within 12 hours of birth.

Question 5 of 5

A client with a history of pancreatitis is admitted with abdominal pain. The nurse should monitor the client for which of the following complications?

Correct Answer: A, C

Rationale: Pancreatitis can cause hypocalcemia (due to fat necrosis) and hypotension (due to fluid loss).

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A client with acute stress disorder is telling the nurse about the tornado that leveled his house and killed his wife and baby while he was out of town on business. He states, 'If only I'd been at home, I could have saved them.' Which of the following responses would be most appropriate?
A client is diagnosed with pernicious anemia. The nurse reviews the client's health history for disorders involving which organ responsible for vitamin B12 absorption?
How many tablets should be administered daily using the below information? Doctor's order: 200 mg of medication once a day Medication label: 1 tablet = 150 mg
The nurse is preparing to suction a tracheostomy for a client with methicillin resistant staphylococcus aureus (MRSA) (see fi gure). The nurse should:

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