NCLEX Questions, RN NCLEX Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 158

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RN NCLEX Practice Test Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a tracheostomy. Which action is a priority during tracheostomy care?

Correct Answer: A

Rationale: Cleaning the inner cannula with sterile technique prevents infection and maintains airway patency, a priority. Dressings (
B), suctioning (
C), and tie changes (
D) are secondary.

Question 2 of 5

The physician prescribes amitriptyline (Elavil) for a client. What does the patient need to know about this medication?

Correct Answer: C

Rationale: The purpose of amitriptyline is to relieve the symptoms of depression because it is an antidepressant. It increases the action of norepinephrine and serotonin on nerve cells.

Question 3 of 5

Chorioamnionitis is a maternal infection that is usually associated with:

Correct Answer: A

Rationale: Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes.

Question 4 of 5

In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:

Correct Answer: B

Rationale: Multiple sclerosis eventually becomes debilitating, but it is characterized by remission of symptoms. Remissions and exacerbations are unpredictable with multiple sclerosis. The client experiences progressive dysfunction after each exacerbation episode. Multiple sclerosis is usually slowly progressive. Multiple sclerosis is an autoimmune disease. Antimicrobial therapy has no effect on its course.

Question 5 of 5

Which diet would the nurse expect to see ordered for a patient with nephrotic syndrome?

Correct Answer: B

Rationale: Nephrotic syndrome causes proteinuria, leading to hypoalbuminemia. A moderate protein diet (0.8–1 g/kg/day) helps replace lost protein without overloading the kidneys. Low carbohydrate, low calcium, or increased potassium diets are not specific to nephrotic syndrome.

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