NCLEX Questions, NCLEX-RN Exam Practice Questions, NCLEX-RN Questions, Nurselytic

Questions 157

NCLEX-RN

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NCLEX-RN Exam Practice Questions

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Question 1 of 5

In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?

Correct Answer: C

Rationale: Reducing the incidence of disease through education supports primary prevention.

Question 2 of 5

The physician has ordered Coumadin (sodium warfarin) for a client with a history of clots. The nurse should tell the client to avoid which of the following vegetables?

Correct Answer: B

Rationale: Cauliflower is high in vitamin K, which can counteract the anticoagulant effects of warfarin, so it should be limited.

Question 3 of 5

A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:

Correct Answer: D

Rationale: Sterile pin care prevents infection at the cervical tong insertion sites, a critical nursing responsibility. Releasing traction, loosening pins, or elevating the bed risks spinal instability.

Question 4 of 5

Which emergency interventions should be carried out for the patient with a venomous snake bite of the right hand?

Question Image

Correct Answer: A, E

Rationale: Snake bite management includes lying down (
A) to reduce venom spread and immobilizing the limb below heart level (E) to slow circulation. Oral antihistamines (
B) are ineffective acutely, history (
C) is secondary, and anti-venin testing (
D) is controversial and not routine.

Question 5 of 5

The client is admitted with a diagnosis of gestational trophoblastic disease. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Serum hCG levels are markedly elevated in gestational trophoblastic disease and ultrasound reveals a characteristic “snowstorm” pattern or grape-like vesicles. Both tests are essential for diagnosis.

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