NCLEX Questions, NCLEX RN Free Practice Questions Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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Extract:


Question 1 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.

Question 2 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 3 of 5

The nurse is educating a group of caregivers about the West Nile virus. A participant asks, 'How can you get the West Nile virus?' The nurse explains that the virus can be transmitted by which source(s)?

Question Image

Correct Answer: A, B, C

Rationale: West Nile virus is transmitted by mosquitoes (
A), blood transfusions (
B), and organ transplants (
C). Birds (
D) and horses (E) are hosts but not direct vectors to humans.

Question 4 of 5

The nurse is caring for a client who is receiving oxytocin (Pitocin) to induce labor. Which finding would prompt the nurse to discontinue the oxytocin infusion?

Correct Answer: D

Rationale: Late decelerations indicate uteroplacental insufficiency a serious complication of oxytocin-induced hyperstimulation. Discontinuing oxytocin is necessary to restore fetal oxygenation. The other findings are normal or expected during labor induction.

Question 5 of 5

The nurse notes hyperventilation in a client with a thermal injury. She recognizes that this may be a reaction to which of the following medications if applied in large amounts?

Correct Answer: B

Rationale: Mafenide acetate can cause metabolic acidosis, leading to compensatory hyperventilation. The other medications listed do not typically cause this reaction.

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