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

Questions 158

NCLEX-RN

NCLEX-RN Test Bank

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Extract:


Question 1 of 5

The nurse is teaching a client with a history of chronic sinusitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: A humidifier keeps nasal passages moist, reducing irritation and promoting drainage in chronic sinusitis.

Question 2 of 5

The physician has ordered a paracentesis for a client with severe abdominal ascites. Before the procedure, the nurse should:

Correct Answer: A

Rationale: Providing a urinal ensures the bladder is empty, reducing the risk of bladder puncture during paracentesis, a priority before the procedure.

Question 3 of 5

While obtaining information about the client's current medication use, the nurse learns that the client takes ginkgo to improve mental alertness. The nurse should tell the client to:

Correct Answer: A

Rationale: Ginkgo can increase bleeding risk by inhibiting platelet aggregation, so clients should report signs of bruising or bleeding to their doctor.

Question 4 of 5

Morphine sulfate 4 mg IV push q2h prn for chest pain was ordered for a client in the emergency room with severe chest pain. The nurse administering the morphine sulfate knows which of the following therapeutic actions is related to the morphine sulfate?

Correct Answer: C

Rationale: Morphine sulfate, a narcotic analgesic, causes sedation and a decrease in level of consciousness. The side effects of morphine sulfate include respiratory depression. Morphine sulfate causes peripheral vasodilation, which decreases afterload, producing a decrease in the myocardial workload. Morphine sulfate alters the perception of pain through an unclear mechanism. This alteration promotes pain relief.

Question 5 of 5

A client is admitted to the emergency department with a loss of consciousness with unknown etiology. The nurse expects to perform which laboratory test to assist in determining etiology?

Correct Answer: C

Rationale: Serum glucose is critical to rule out hypoglycemia or hyperglycemia as causes of unconsciousness. Cholesterol (
A), alkaline phosphatase (
B), and urinalysis (
D) are less urgent.

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