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NCLEX RN Free Practice Questions Questions

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Question 1 of 5

The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension,the nurse should:

Correct Answer: D

Rationale: Hypotension from epidural anesthesia results from vasodilation. Increasing the IV infusion rate (e.g. with saline) restores blood volume and pressure. Trendelenburg may worsen spinal anesthesia spread and oxygen is secondary unless hypoxia occurs.

Question 2 of 5

A first-trimester primigravida is diagnosed with anemia. The nurse should suspect that this anemia is a result of:

Correct Answer: A

Rationale: Increased maternal blood volume in the first trimester causes dilutional anemia due to a relative decrease in red blood cell concentration.

Question 3 of 5

A client with paranoid schizophrenia has an order for Thorazine (chlorpromazine) 400 mg orally twice daily. Which of the following symptoms should be reported to the physician immediately?

Correct Answer: A

Rationale: Fever, sore throat, and weakness may indicate agranulocytosis, a serious side effect of chlorpromazine requiring immediate medical attention.

Question 4 of 5

A client with a history of chronic migraines is admitted with complaints of nausea. The nurse should give priority to:

Correct Answer: A

Rationale: Antiemetics relieve nausea in migraines, improving comfort and preventing dehydration.

Question 5 of 5

The client is admitted with a diagnosis of preeclampsia. The nurse should monitor for which complication?

Correct Answer: A

Rationale: Preeclampsia can progress to eclampsia characterized by seizures a life-threatening complication. Premature rupture of membranes macrosomia and hypoglycemia are not directly related to preeclampsia.

Similar Questions

As a nurse in the emergency room, you receive an outside call from an elderly woman who states she has just been raped. She states, 'I know I must come to the hospital, but what do I do next?' You advise her to call the police, then come to the hospital emergency room. What action by the nurse would indicate an understanding of the examination process once the victim enters the emergency room?
A client with a history of tuberculosis is admitted with complaints of hemoptysis. The nurse should give priority to:"
A client has recently been diagnosed with primary open-angle glaucoma. The nurse should tell the client to avoid taking:
A client with a history of pancreatitis is admitted with complaints of nausea. The nurse should give priority to:
Which finding is expected in the normal newborn?

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