Questions 150

NCLEX-RN

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Question 1 of 5

The nurse is developing a community health education program about sexually transmitted diseases. Which information about women who acquire gonorrhea should be included?

Correct Answer: C

Rationale: Women with gonorrhea are often asymptomatic, which increases the risk of delayed treatment and complications, a key point for education.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of asthma about the use of a spacer with a metered-dose inhaler. Which of the following instructions is most important?

Correct Answer: C

Rationale: Cleaning the spacer weekly prevents bacterial buildup, ensuring safe and effective medication delivery.

Question 3 of 5

The nurse is caring for a client with a chest tube. Which of the following findings requires immediate intervention?

Correct Answer: B

Rationale: Clamping the tubing near the insertion site can cause a tension pneumothorax, requiring immediate correction.

Question 4 of 5

A client with a history of rheumatoid arthritis is prescribed methotrexate. The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methotrexate can cause hepatotoxicity, requiring regular liver function tests.

Question 5 of 5

A child with the diagnosis of Hirschsprung's disease has a temporary colostomy. The nurse provides instructions to the parents about colostomy care at home. Which statement by the parents indicates their understanding of the instructions?

Correct Answer: B

Rationale: The parents are instructed to report signs of skin breakdown or stomal complications, such as ribbonlike stools or failure to pass flatus or stools, to the primary health care provider or the nurse. Moist, red granulation tissue may grow around an ostomy site and does not require special treatment. The remaining options are incorrect actions and considered contraindicated.

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