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

Questions 149

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Extract:


Question 1 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: should assess client to determine amount and cause of bleeding

Question 2 of 5

Two days' postpartum, a nursing mother develops swollen, taut, and very painful breasts. Which of the following is the most likely cause?

Correct Answer: A

Rationale: Swollen, taut, and painful breasts two days postpartum are most likely due to engorgement (
A), a common condition as milk supply increases. Insufficient milk (
B), blocked ducts (
C), and mastitis (
D) present differently or later.

Question 3 of 5

A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?

Correct Answer: A

Rationale: Low back pain is a hallmark of acute hemolytic transfusion reaction due to hemolysis and kidney involvement. Fever, urticaria, or neck vein distention suggest other complications.

Question 4 of 5

Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

Correct Answer: C

Rationale: The lens focuses light rays onto the retina to produce a clear image.

Question 5 of 5

The nurse is working on a postsurgical floor with an LPN. A new client has just arrived. Which task is appropriate for the nurse to delegate to the LPN?

Correct Answer: A

Rationale: Taking vital signs is within an LPN’s scope. PICC line flushing, IV morphine, and TPN initiation require RN-level judgment.

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