Questions 150

NCLEX-RN

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Extract:


Question 1 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 2 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, requiring regular liver function tests.

Question 3 of 5

The nurse notices drops of a liquid on the hallway floor of a health care facility. The nurse should do which of the following first?

Correct Answer: C

Rationale: Posting 'wet floor' signs first ensures immediate safety by alerting others to the hazard, preventing slips.
Then, the nurse can proceed with cleanup or notify appropriate personnel.

Question 4 of 5

The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?

Correct Answer: B

Rationale: Dry mucous membranes are a classic sign of dehydration due to reduced fluid volume in the body.

Question 5 of 5

Select the electrolyte that is accurately paired with its normal level.

Correct Answer: A

Rationale: Normal phosphate levels are 0.81 to 1.45 mmol/L (2.5 to 4.5 mg/dL), making this the correct pairing.

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