Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is assessing a client with a suspected tension pneumothorax. Which of the following interventions is the highest priority?

Correct Answer: B

Rationale: Preparing for needle decompression is the highest priority in tension pneumothorax to relieve pressure and restore lung function.

Question 2 of 5

Which of the following is a risk factor for toxic shock syndrome (TSS)?

Correct Answer: D

Rationale: Using tampons only at night increases TSS risk due to prolonged use, allowing bacterial growth. Frequent changing and alternating with pads reduce risk.

Question 3 of 5

A client with a diagnosis of gout is prescribed febuxostat (Uloric). The nurse should instruct the client to:

Correct Answer: A,B

Rationale: Taking febuxostat with food reduces gastrointestinal upset, and avoiding alcohol prevents uric acid buildup.

Question 4 of 5

The nurse is assessing a newborn 24 hours after birth. Which finding requires immediate reporting?

Correct Answer: D

Rationale: Yellowing of the skin within 24 hours suggests pathological jaundice, requiring immediate evaluation to prevent complications like kernicterus.

Question 5 of 5

A client is prescribed lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse determines that the client best understands this disorder and the medication regimen when the client reports taking which product for pain?

Correct Answer: C

Rationale: Zollinger-Ellison syndrome is a hypersecretory condition of the stomach. The client should take acetaminophen for pain relief. The client should not take medications that irritate the stomach lining. Irritants would include aspirin and nonsteroidal antiinflammatory medications (naprosyn and ibuprofen).

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