Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse is caring for a client with a history of deep vein thrombosis who is prescribed enoxaparin (Lovenox). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Bleeding gums indicate a potential bleeding complication with enoxaparin, requiring immediate reporting.

Question 2 of 5

Which of the following is a commonality that is shared in terms of both restraints and urinary catheters?

Correct Answer: A

Rationale: Both restraints and urinary catheters can lead to infections restraints via skin breakdown and catheters via urinary tract infections if not properly managed.

Question 3 of 5

A 10-month-old child has cold symptoms. The mother asks how she can clear the infant's nose. Which of the following would be the nurse's best recommendation?

Correct Answer: B

Rationale: Saline nose drops followed by bulb syringe suction is safe and effective for clearing nasal congestion in infants. Vaporizers help with humidity, but saline and suction directly clear the nose.

Question 4 of 5

A client with a diagnosis of nephrotic syndrome states to the nurse, 'Why should I even bother trying to control my diet and the swelling? It doesn't really matter what I do if I can never get rid of this kidney problem anyway!' Which potential client problem should the nurse address based on the client's statement?

Correct Answer: C

Rationale: Feeling powerless is a problem when the client believes that personal actions will not affect an outcome in any significant way. Anxiety occurs when the client has a feeling of unease with a vague or undefined source. Difficulty coping indicates that the client has impaired adaptive abilities or behaviors in meeting the demands or roles expected from the individual. Negative body image occurs when the way the client perceives body image is altered.

Question 5 of 5

To which of the following unlicensed assistive personnel should the nurse assign an Hispanic male client who needs complete morning care?

Correct Answer: B

Rationale: Joe, with only one other client needing complete care, has the lightest workload, making him the best choice for assigning an additional client requiring complete morning care.

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