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Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for a client who is 12 weeks pregnant and presented with the following symptoms: mild uterine cramping with spotting of blood. The cervical os is closed upon examination. How should the nurse chart the findings?

Correct Answer: D

Rationale: Mild cramping, spotting, and a closed cervical os at 12 weeks indicate a threatened miscarriage, where the pregnancy may still continue.

Question 2 of 5

Which action is contraindicated in the client with epiglottis?

Correct Answer: B

Rationale: Using a tongue blade can trigger airway obstruction in epiglottitis, making it contraindicated.

Question 3 of 5

The nurse is caring for a client with a history of schizophrenia, alcohol abuse, bipolar disorder, and noncompliance with treatment and medications. The client has also been arrested in the past for violent behavior. Which action by the nurse is the most important when caring for a potentially violent client?

Correct Answer: B

Rationale: Maintaining an open pathway to the door ensures the nurse’s safety if the client becomes violent, prioritizing personal safety.

Question 4 of 5

Which clinical manifestation during the actual bone marrow transplantation alerts you to the possibility of an adverse reaction?

Correct Answer: D

Rationale: Shortness of breath during bone marrow transplantation may indicate an anaphylactic or transfusion reaction, requiring immediate intervention.

Question 5 of 5

A client with a diagnosis of HPV is at risk for which of the following?

Correct Answer: B

Rationale: Human papillomavirus (HPV) is a major risk factor for cervical cancer, particularly high-risk strains like HPV-16 and HPV-18.

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