Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease who is prescribed budesonide (Pulmicort). The nurse should instruct the client to:

Correct Answer: B

Rationale: Rinsing the mouth after using budesonide prevents oral candidiasis, a common side effect of inhaled corticosteroids.

Question 2 of 5

A mother reports to the nurse that she cannot afford the antibiotic azithromycin (Zithromax), which was ordered by the physician for her toddler's ear infection. Which of the following is the most appropriate action by the nurse?

Correct Answer: C

Rationale: Conferring with the physician to explore a less expensive alternative medication addresses the mother's financial concern while ensuring treatment. Instructing on importance doesn't solve affordability, asking about loans is inappropriate, and a social worker may help later but isn't the first step.

Question 3 of 5

The nurse is caring for a client with a chest tube. Which of the following findings requires immediate intervention?

Correct Answer: B

Rationale: Clamping the tubing near the insertion site can cause a tension pneumothorax, requiring immediate correction.

Question 4 of 5

Which of the following nursing interventions would best accomplish the goal of preventing atelectasis and pneumonia in a postoperative client?

Correct Answer: B

Rationale: Pain control is essential to enable effective deep breathing and incentive spirometry, which prevent atelectasis and pneumonia by promoting lung expansion. Oxygen and fluid intake are supportive but secondary.

Question 5 of 5

A 9-year-old child is scheduled for an electromyelogram. To prepare the child for this procedure, what should the nurse do?

Correct Answer: D

Rationale: A verbal explanation in age-appropriate terms helps a 9-year-old understand the procedure, reducing anxiety and promoting cooperation.

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