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Questions 149

NCLEX-RN

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Question 1 of 5

A student nurse overhears her instructor using the term pink puffer. The student knows this term refers to a client with which condition?

Correct Answer: C

Rationale: Pink puffer' describes emphysema patients, who maintain oxygenation (pink) but hyperventilate (puffer) due to alveolar destruction.

Question 2 of 5

Which task should be assigned to the nursing assistant?

Correct Answer: C

Rationale: Feeding a client with dementia is within the nursing assistant's scope, as it involves basic care and does not require advanced skills.

Question 3 of 5

An operating room nurse just received a client scheduled for a laparoscopic cholecystectomy, but discovers the consent form has not been signed. What is the most appropriate action?

Correct Answer: B

Rationale: Missing consent requires notifying the surgeon to ensure the client is informed and consents before proceeding, adhering to legal and ethical standards.

Question 4 of 5

A client with schizophrenia is started on Zyprexa (olanzapine). Three weeks later, the client develops severe muscle rigidity and elevated temperature. The nurse should give priority to:

Correct Answer: D

Rationale: Severe muscle rigidity and fever suggest neuroleptic malignant syndrome (NMS), a medical emergency requiring immediate transfer to a medical unit for treatment.

Question 5 of 5

The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. When teaching about this medication, the nurse would include:

Correct Answer: D

Rationale: Metronidazole can cause a disulfiram-like reaction with alcohol, so avoidance is critical.

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