Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Test Bank with Rationales Questions

Extract:


Question 1 of 5

For the client with a substance abuse problem, which of the following would be most helpful to aid the client in dealing with feelings and concerns related to alcohol and drugs?

Correct Answer: B

Rationale: Group sessions provide peer support and shared experiences, highly effective for addressing feelings related to substance abuse.

Question 2 of 5

The client prescribed phenelzine sulfate suddenly exhibits signs of hypertensive crisis. Which medication should the nurse plan to prepare?

Correct Answer: B

Rationale: The manifestations of hypertensive crisis include hypertension, occipital headache radiating frontally, neck stiffness and soreness, nausea, vomiting, sweating, fever and chills, clammy skin, dilated pupils, and palpitations. Tachycardia, bradycardia, and constricting chest pain may also be present. The antidote for hypertensive crisis is phentolamine and a dosage by intravenous injection is administered. Protamine sulfate is the antidote for heparin. Calcium gluconate is used for magnesium overdose. Phytonadione is the antidote for warfarin overdose.

Question 3 of 5

A nurse is assessing a client who has a potential diagnosis of pancreatitis. Which risk factors predispose the client to pancreatitis? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Excessive alcohol use, gallstones, abdominal trauma, and hyperlipidemia with high triglycerides are established risk factors for pancreatitis, as they can disrupt塌 or obstruct pancreatic ducts or cause inflammation.

Question 4 of 5

The client with a nasogastric (NG) tube begins to complain of abdominal distention. Which of the following measures should the nurse implement first?

Correct Answer: C

Rationale: Checking the suction equipment ensures the NG tube is functioning properly, addressing the most likely cause of distention before escalating to other interventions.

Question 5 of 5

Identify this cardiac rhythm strip. Fill in the blank. A. Torsades de Pointes B. Accelerated Idioventricular Arrhythmia C. First Degree Atrioventricular Heart Block D. Supraventricular tachycardia

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Correct Answer: C

Rationale: First Degree AV Block is characterized by a prolonged PR interval, assuming the strip shows this pattern.

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