NCLEX Questions, NCLEX-RN Exam Questions, NCLEX-RN Questions, Nurselytic

Questions 158

NCLEX-RN

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Question 1 of 5

The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1-2 minutes; strong, large amount of 'bloody show.' The most appropriate nursing goal for this client would be:

Correct Answer: C

Rationale: In transition (9 cm dilation, frequent contractions), helping the client maintain control is critical due to intense contractions and emotional challenges.

Question 2 of 5

The healthcare team determines that an elderly client has had progressive changes in memory over the last 2 years that have interfered with her personal, social, or occupational functioning. Her memory, learning, attention, and judgment have all been affected in some way. These symptoms describe which of the following conditions?

Correct Answer: A

Rationale: These changes are common characteristics of dementia.

Question 3 of 5

Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

Correct Answer: D

Rationale: Noncompliance with prescribed antituberculosis drug regimen is the primary cause of drug-resistant organisms. Noncompliance permits the mutation of organisms.

Question 4 of 5

A common complaint of the client with an abdominal aortic aneurysm is:

Correct Answer: D

Rationale: A pulsating sensation in the periumbilical area is a classic symptom of an abdominal aortic aneurysm due to the expanding vessel. The other symptoms are less specific or unrelated.

Question 5 of 5

The nurse is preparing to administer a dose of insulin lispro (Humalog). When is the onset of action for this medication?

Correct Answer: A

Rationale: Insulin lispro, a rapid-acting insulin, has an onset of 5–15 minutes, making it ideal for pre-meal administration. Other insulins have slower onsets.

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