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Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

A teenage client tells the nurse about her plans to be a lifeguard this summer. The nurse would be concerned if she saw the client was taking which medication? Select all that apply.

Correct Answer: B

Rationale: Isotretinoin (Accutane) causes photosensitivity, increasing sunburn risk, which is concerning for a lifeguard exposed to sunlight. Other medications do not pose significant outdoor risks.

Question 2 of 5

Which of the following roommates would be most suitable for the client with myasthenia gravis?

Correct Answer: A

Rationale: Hypothyroidism poses no infection risk, unlike pyelonephritis or bronchitis.

Question 3 of 5

The nurse is preparing to admit a client from the emergency department with tuberculosis. Which of the following should the nurse anticipate in caring for this client? Select all that apply.

Correct Answer: C, D, E, F

Rationale: Tuberculosis requires airborne precautions, standard precautions, negative airflow rooms, and N95/PAPR use due to respiratory transmission. Fall precautions are not specific, and droplet precautions are incorrect.

Question 4 of 5

When administering a capsule that is individually wrapped to a client, when should the wrapping be removed?

Correct Answer: D

Rationale: Removing the wrapping at the bedside (
D) ensures the client sees the medication, enhancing safety and trust.

Question 5 of 5

A client in ICU has a chest tube, and the nurse is assessing the chest tube drainage system. The nurse notices intermittent bubbling in the water seal chamber. What action should the nurse take?

Correct Answer: B

Rationale: Intermittent bubbling in the water seal chamber is normal during inspiration/expiration or coughing, indicating a patent system. It should be documented as a normal finding.

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