Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

A postoperative client has a Jackson-Pratt drain. Which finding should the nurse report immediately?

Correct Answer: B

Rationale: Bright red drainage suggests active bleeding, a serious complication requiring immediate reporting.

Question 2 of 5

The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client?

Correct Answer: C

Rationale: Memantine is a medication used to treat moderate to severe Alzheimer's disease. This medication needs to be avoided in clients with severe renal dysfunction, and a reduced dosage is needed in moderate renal dysfunction. The other options are not specifically associated with this medication.

Question 3 of 5

A client with pneumonia is receiving oxygen at 2 L/min via nasal cannula. The nurse notes a respiratory rate of 30 breaths/min and oxygen saturation of 88%. What should the nurse do first?

Correct Answer: B

Rationale: An oxygen saturation of 88% and tachypnea indicate worsening hypoxia, requiring immediate physician notification for further orders. Increasing oxygen or repositioning may help but requires a prescription.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Stopping medication when feeling fine indicates a misunderstanding, as hypertension requires ongoing treatment.

Question 5 of 5

The nurse is caring for a client with a suspected urinary tract infection. Which symptom is most common?

Correct Answer: A

Rationale: Dysuria (painful urination) is the most common symptom of a urinary tract infection, reflecting bladder or urethral irritation.

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