Questions 150

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NCLEX RN High-Yield Questions Questions

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Question 1 of 5

The nurse is caring for a client with a tracheostomy. Which action is essential to maintain airway patency?

Correct Answer: A

Rationale: Suctioning as needed removes secretions, maintaining tracheostomy patency and preventing airway obstruction.

Question 2 of 5

The nurse is assessing fetal position in a 32-year-old woman in her eighth month of pregnancy. From the fi gure below, the fetal position can be described as:

Question Image

Correct Answer: D

Rationale: In right occipital anterior lie, the occiput faces the right anterior segment of the woman’s pelvis. In left occipital transverse lie, the occiput faces the woman’s left hip. In left occipital anterior lie, the occiput faces the left anterior segment of the woman’s pelvis. In right occipital transverse lie, the occiput faces the woman’s right hip.

Question 3 of 5

A client with a history of type 1 diabetes mellitus is prescribed insulin glargine (Lantus). The nurse should explain that this insulin:

Correct Answer: B

Rationale: Insulin glargine provides a steady basal insulin level over 24 hours, used for long-term glucose control.

Question 4 of 5

A client with a history of asthma is admitted with an exacerbation. The nurse should administer which of the following medications as prescribed? Select all that apply.

Correct Answer: A, B, C

Rationale: Albuterol, ipratropium, and prednisone treat acute asthma exacerbations by relieving bronchospasm and inflammation.

Question 5 of 5

A client with a history of bipolar disorder is prescribed valproic acid (Depakene). The nurse should instruct the client to report which of the following side effects immediately?

Correct Answer: B

Rationale: Yellowing of the skin indicates potential hepatotoxicity, a serious side effect of valproic acid, requiring immediate reporting.

Similar Questions

A client previously well controlled with glyburide has recently begun reporting fasting blood glucose to be 180 to 200 mg/dL (10.28-11.42 mmol/L). Which medication, noted in the client's record, may be contributing to the elevated blood glucose level?
The nurse is watching two siblings, ages 7 and 9 years, verbally arguing over a toy. The nurse has discussed the parent before about how to handle this situation. The nurse should judge that the teaching has been effective when the parent does which of the following?
Long-term administration of gentamicin sulfate (Garamycin) to a client has been discontinued. The nurse should assess which of the following?
The mother of an infant with iron deficiency anemia asks the nurse what she could have done to prevent the anemia. The nurse should teach the mother that it is helpful to introduce solid foods into the infant's diet at age:
The nurse is monitoring for the presence of pitting edema in the prenatal client. The nurse presses the fingertips of the middle and index fingers against the shin in 4 different locations and holds pressure for 2 to 3 seconds. The nurse notes that the indentation is approximately 1-inch deep. The nurse should document that the client has which level of pitting edema?

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