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

Questions 149

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is assessing a client with suspected Cushing’s syndrome. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: moon face and truncal obesity are classic signs of Cushing’s syndrome due to excess cortisol

Question 2 of 5

The nurse’s INITIAL priority when managing a physically assaultive client is to

Correct Answer: C

Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client

Question 3 of 5

A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should

Correct Answer: D

Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.

Question 4 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

Question 5 of 5

The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

Correct Answer: C

Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.

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