Questions 150

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RN NCLEX Next Gen Questions Questions

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Question 1 of 5

A postpartum client is experiencing heavy lochia 3 days after delivery. Which action should the nurse take first?

Correct Answer: A

Rationale: Heavy lochia may indicate uterine atony. Massaging the fundus is the first step to promote uterine contraction and reduce bleeding before escalating to other interventions.

Question 2 of 5

A client has a positive sputum culture for Mycobacterium tuberculosis and is prescribed streptomycin as part of the treatment. The nurse determines that the client is experiencing a toxic effect of the medication when which test result is abnormal?

Correct Answer: D

Rationale: BUN and creatinine are measured during therapy with streptomycin because the medication is nephrotoxic. Vision testing is done during treatment with ethambutol. The client taking isoniazid for tuberculosis is at risk for hepatotoxicity. Hemoglobin and hematocrit are not specifically related to tuberculosis.

Question 3 of 5

A normal, healthy infant is brought to the clinic for the first immunization against polio. The nurse should administer this vaccine by what route?

Correct Answer: A

Rationale: The polio vaccine for infants is administered orally (OPV) in many regions, though inactivated polio vaccine (IPV) is given intramuscularly in some settings. Based on the options, oral is correct.

Question 4 of 5

A client with a history of bipolar disorder is prescribed lamotrigine (Lamictal). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: A rash may indicate a serious hypersensitivity reaction to lamotrigine, such as Stevens-Johnson syndrome, requiring immediate reporting.

Question 5 of 5

Which of the following is NOT an essential component of a restraint order?

Correct Answer: A

Rationale: A restraint order requires the reason , type , and client behaviors necessitating the restraint . Informed consent is not typically required for restraints, as they are used in emergencies or for safety.

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