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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.

Question 2 of 5

The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain a culture of:

Correct Answer: D

Rationale: Gonorrhea is diagnosed by culturing genital secretions.

Question 3 of 5

Which one of the following infants needs a further assessment of growth?

Correct Answer: B

Rationale: The 2-week-old has only gained 2 oz since birth, which is inadequate (normal is 0.5-1 oz/day), indicating a need for growth assessment.

Question 4 of 5

A Turkish-speaking client is scheduled for a colonoscopy, and the nurse must provide printed directions to the client, but directions are not available in Turkish. Which of the following is most appropriate?

Correct Answer: A

Rationale: Contacting a medical translator (
A) ensures accurate communication for critical medical instructions. Using a child (
B) is unreliable, pictures/pantomime (
C) may be unclear, and advising the daughter to find a translator (
D) shifts responsibility inappropriately.

Question 5 of 5

The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:

Correct Answer: B

Rationale: A blood test for H. pylori requires no special preparation, such as fasting or administration of substances.

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