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Questions 148

NCLEX-RN

NCLEX-RN Test Bank

Free NCLEX RN Practice Questions Questions

Extract:


Question 1 of 5

The nurse is assessing a client with suspected glomerulonephritis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: hematuria and proteinuria are hallmark signs of glomerulonephritis due to glomerular damage

Question 2 of 5

A client with a history of phenylketonuria is seen at the local family planning clinic. After completing the client's intake history, the nurse provides literature for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Nutrasweet (aspartame) contains phenylalanine, which must be avoided in phenylketonuria, indicating a need for further teaching.

Question 3 of 5

The client presents to the emergency room with a 'bull's eye' rash. Which question would be most appropriate for the nurse to ask the client?

Correct Answer: A

Rationale: A bull's eye rash is characteristic of Lyme disease, often caused by tick bites, making this the most relevant question.

Question 4 of 5

A nurse needs to draw a blood sample from a patient's central line. The line is currently infusing Ringer's lactate. In which order should the nurse take the following steps to draw the blood sample? Number the steps below.

Order the Items

Source Container

attach the flush syringe and flush catheter with normal saline
stop the infusion and disconnect Ringer's lactate
withdraw a blood sample and discard
scrub the catheter hub
withdraw the blood sample for the lab

Correct Answer: B,D,C,A,E

Rationale: Order: Stop infusion (
B), scrub hub (
D), withdraw/discard blood (
C), flush with saline (
A), withdraw lab sample (E). This ensures a clean, accurate sample.

Question 5 of 5

The nurse has just received a report from the previous shift. Which of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. The other clients' conditions are less acute.

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