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NCLEX RN Free Practice Questions Questions

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Question 1 of 5

On admission to the postpartal unit, the nurse's assessment identifies the client's fundus to be soft, 2 fingerbreadths above the umbilicus, and deviated to the right. This is most likely an indication of:

Correct Answer: B

Rationale: A boggy displaced uterus in the immediate postpartum period is a sign of urinary distention. Because uterine ligaments are stretched, a full bladder can displace the uterus.

Question 2 of 5

A client with a history of breast cancer is admitted with complaints of lymphedema. The nurse should give priority to:

Correct Answer: A

Rationale: Compression therapy reduces swelling in lymphedema post-breast cancer, improving comfort and function.

Question 3 of 5

A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, 'I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with?' The RN could suggest which one of the following?

Correct Answer: D

Rationale: Kegel exercises are appropriate early postpartum as they strengthen pelvic floor muscles, promoting recovery without excessive strain.

Question 4 of 5

Home-care instructions for the child following a cardiac catheterization should include:

Correct Answer: B

Rationale: A small bruise may develop around the insertion site and is not a reason for alarm. It is best to keep the child out of the bathtub until the sutures are removed. Acetaminophen, not aspirin, is the drug of choice if there is pain at the insertion site. The insertion site should be kept clean and dry and open to air.

Question 5 of 5

The physician has prescribed Zyvox (linezolid) for a patient with VRE. The concurrent use of which medication may result in serotonin syndrome?

Correct Answer: B

Rationale: Linezolid, a monoamine oxidase inhibitor, can cause serotonin syndrome when combined with SSRIs like Zoloft (sertraline), due to excessive serotonin accumulation. Nexium, Lipitor, and Zyrtec do not interact in this way.

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A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

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