Questions 150

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RN NCLEX Next Gen Questions Questions

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Question 1 of 5

The nurse is caring for a client with a spinal cord injury at the T4 level. Which of the following findings indicates autonomic dysreflexia?

Correct Answer: A

Rationale: Autonomic dysreflexia presents with bradycardia and hypertension due to unopposed sympathetic stimulation below the injury level.

Question 2 of 5

A client with a history of type 1 diabetes is admitted with hyperglycemia. The nurse should include which of the following in the plan of care?

Correct Answer: A

Rationale: Regular insulin corrects hyperglycemia in type 1 diabetes.

Question 3 of 5

A client with a history of peptic ulcer disease is prescribed sucralfate (Carafate). The nurse should instruct the client to:

Correct Answer: A

Rationale: Sucralfate should be taken 1 hour before meals to coat the stomach lining and protect ulcers.

Question 4 of 5

A hospitalized client fell on the floor and sustained a small laceration on her hand that required stitches. The intern will suture the client's hand at the client's bedside and asks for bupivacaine (Marcaine) with epinephrine and a suture kit in order to suture the laceration. The nurse should question which of the following?

Correct Answer: C

Rationale: Bupivacaine with epinephrine should be questioned for hand lacerations, as epinephrine can cause vasoconstriction and potential tissue ischemia in extremities.

Question 5 of 5

After several months of taking olanzapine (Zyprexa), the client reports that he is no longer hearing voices of any kind. Which of the following would confirm that the client is developing insight into his illness?

Correct Answer: B

Rationale: Acknowledging a chemical brain imbalance shows insight into the biological basis of the illness, indicating understanding of the need for treatment.

Similar Questions

Your client is in the special care area of your hospital with multiple trauma and severe bodily burns. This 45 year old male client has an advance directive that states that the client wants all life saving measures including cardiopulmonary resuscitation and advance cardiac life support, including mechanical ventilation. As you are caring for the client, the client has a complete cardiac and respiratory arrest. This client has little of no chance for survival and they are facing imminent death according to your professional judgement, knowledge of pathophysiology and your critical thinking. You believe that all life saving measures for this client would be futile. What is the first thing that you, as the nurse, should do?
A client has been taking imipramine [Tofranil] for his depression for 2 days. His sister asks the nurse, 'Why is he still so depressed?' Which of the following responses by the nurse is most appropriate?
A parent of a 9-year-old child newly diagnosed with diabetes mellitus is very concerned about the child going to school and participating in social events. The nurse creating a plan of care should formulate which goals to address these concerns? Select all that apply.
The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following findings indicates a complication of TPN?
The nurse is preparing to provide preoperative teaching with a client scheduled for radical neck dissection. Which topic should the nurse initially focus on?

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