Questions 150

NCLEX-RN

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Extract:


Question 1 of 5

Place the phases or stages of the inflammatory response in the correct sequential order, do NOT include any phases that is NOT part of the inflammatory process. 1. The vascular phase 2. The prodromal phase 3. The incubation phase 4. The initial injury 5. The exudate phase 6. The convalescence phase

Correct Answer: B

Rationale: The inflammatory response includes the initial injury (4), followed by the vascular phase (1, vasodilation and increased permeability), and then the exudate phase (5, fluid and cell migration). Prodromal (2), incubation (3), and convalescence (6) are not part of the inflammatory process. Thus, B (4,1,5) is correct.

Question 2 of 5

What is the term that is used to describe a healthcare related incident or accident that may have possibly led to client harm?

Correct Answer: A

Rationale: An adverse event is a healthcare-related incident that may have led to client harm, such as medication errors or falls.

Question 3 of 5

A client has undergone a vasectomy. The nurse instructs the client that he can begin having unprotected intercourse:

Correct Answer: C

Rationale: A vasectomy requires confirmation of azoospermia (no sperm in semen) via sperm count before unprotected intercourse to ensure sterilization, as sperm may remain in the reproductive tract initially.

Question 4 of 5

A client with a diagnosis of diabetes insipidus asks the nurse about the purpose of the vasopressin she has been prescribed. The nurse responds, knowing that this medication promotes which action?

Correct Answer: C

Rationale: Vasopressin is a vasopressor and an antidiuretic. It directly stimulates contraction of smooth muscle, causes vasoconstriction, stimulates peristalsis, and increases reabsorption of water by the renal tubules, resulting in decreased urinary output.

Question 5 of 5

Which of the following laboratory tests should the nurse monitor when the client is receiving warfarin sodium (Coumadin) therapy?

Correct Answer: D

Rationale: Warfarin therapy requires monitoring prothrombin time (PT) to assess anticoagulation effectiveness.

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