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

Questions 148

NCLEX-RN

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Extract:


Question 1 of 5

The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

Correct Answer: B

Rationale: Nausea is a common sign of amphotericin B toxicity, often accompanied by fever and chills.

Question 2 of 5

The nurse is caring for a client with stage III Alzheimer's disease. A characteristic of this stage is:

Correct Answer: D

Rationale: Stage III Alzheimer's is characterized by severe cognitive decline, including inability to communicate effectively, often limited to simple phrases or gestures.

Question 3 of 5

During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

Correct Answer: B

Rationale: A painful blister on the vulva is most consistent with genital herpes, caused by the herpes simplex virus.

Question 4 of 5

The first-time mother of a 6-month old infant is concerned that the child's physical development is delayed because the child cannot crawl. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Most infants crawl by 9 months (
A), reassuring the mother while acknowledging normal variation. Other responses (B, C,
D) are less specific or dismissive.

Question 5 of 5

The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

Correct Answer: D

Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.

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