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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client admitted to ICU following a heart attack. The nurse notes on the chart that the client has named his spouse to make decisions regarding his care if he is unable to speak for himself. What is the name of the document the client has signed? Fill in the blank.

Correct Answer: C

Rationale: The document is a **Durable Power of Attorney for Healthcare** or **Healthcare Proxy**, designating the spouse as the decision-maker.

Question 2 of 5

A client is admitted for an CAT scan. The nurse should question the client regarding:

Correct Answer: A

Rationale: Pregnancy is a contraindication for a CAT scan due to radiation risks to the fetus.

Question 3 of 5

The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:

Correct Answer: B

Rationale: Skin irritation is a common side effect of TENS; reporting it ensures timely management.

Question 4 of 5

Which type of behavior modification is most likely to benefit a client who has a severe phobia regarding spiders?

Correct Answer: C

Rationale: Desensitization (
C), gradually exposing the client to spiders, is most effective for phobias. Other methods (A, B,
D) are less specific.

Question 5 of 5

The nurse is preparing the client for surgery. The pre-op medication includes atropine sulfate 0.4 mg, meperidine (Demerol HCl) 50 mg, and promethazine hydrochloride (Phenergan) 25 mg IM. Which action should the nurse do first?

Correct Answer: A

Rationale: Ensuring the surgical permit is signed is the priority to confirm informed consent before administering preoperative medications.

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