NCLEX Questions, NCLEX RN Practice Questions Quizlet Questions, NCLEX-RN Questions, Nurselytic

Questions 149

NCLEX-RN

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Extract:


Question 1 of 5

During the change of shift report, a nurse writes in her notes that she suspects illegal drug use by a client assigned to her care. During the shift, the notes are found by the client's daughter. The nurse could be sued for:

Correct Answer: A

Rationale: Writing unverified suspicions of illegal drug use that are later seen by others constitutes libel, as it is a written defamatory statement.

Question 2 of 5

During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?

Correct Answer: D

Rationale: A BP of 146/90 indicates stage 1 hypertension (systolic 130-139 or diastolic 80-89). Lifestyle changes and possible medication are recommended, especially with a family history.

Question 3 of 5

During the second stage of labor, the baby's head becomes compressed because the mother has a narrow, bony pelvis. Which of the following is the most common result for the infant from this type of compression?

Correct Answer: C

Rationale: Cranial molding (
C) is the most common result of head compression during labor due to a narrow pelvis, as the infant's skull adapts to the birth canal. Cerebral palsy (
A), intellectual disability (
B), and epilepsy (
D) are not directly caused by this.

Question 4 of 5

A client with glomerulonephritis is placed on a low-sodium diet. Which of the following snacks is suitable for the client with sodium restriction?

Correct Answer: D

Rationale: Fresh peach is naturally low in sodium, unlike processed options.

Question 5 of 5

A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?

Correct Answer: A

Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.

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