Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse is caring for a client with bipolar disorder in a manic phase. Which intervention is most appropriate?

Correct Answer: B

Rationale: A quiet environment reduces stimuli, helping to calm a client in a manic phase.

Question 2 of 5

Which of the following baseline laboratory data should be established before a client is started on tissue plasminogen activator or alteplase recombinant (Activase)?

Correct Answer: C

Rationale: These tests assess bleeding risk, critical before administering thrombolytics like alteplase, which can cause hemorrhage.

Question 3 of 5

Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated $3 \mathrm{~cm}, 0$ station and completely effaced; fetal heart rate of $136 \mathrm{bpm}$. Which of the following should the nurse plan to do next?

Correct Answer: A

Rationale: Moderate discomfort in early labor is managed with non-pharmacologic comfort measures and breathing techniques to promote coping.

Question 4 of 5

The nurse is caring for a client with a venous leg ulcer. Which of the following interventions should be included in the plan of care?

Correct Answer: A

Rationale: Compression bandages promote venous return and healing in venous leg ulcers.

Question 5 of 5

The physician is calling in an order for ampicillin for a neonate. The nurse should do which of the following? Select all that apply.

Correct Answer: A,C,D

Rationale: Writing the order, repeating it back, and confirming with the physician ensure accuracy and safety for a telephone order.

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