Questions 150

NCLEX-RN

NCLEX-RN Test Bank

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Question 1 of 5

The nurse provides instructions to a client who is taking allopurinol for the treatment of gout. Which statement by the client indicates an understanding of the medication?

Correct Answer: C

Rationale: Clients taking allopurinol are encouraged to drink 3000 mL of fluid a day. If the client develops a rash, irritation of the eyes, or swelling of the lips or mouth, he or she should contact the primary health care provider because this may indicate hypersensitivity. Allopurinol is to be given with or immediately after meals or milk.

Question 2 of 5

A client has a history of syphilis infection. The nurse interprets that the client has been re-infected when which characteristic is noted in a penile lesion?

Correct Answer: C

Rationale: The characteristic lesion of syphilis is painless and indurated. The lesion is referred to as a chancre. Scabies is characterized by erythematous, papular eruptions. Genital warts are characterized by cauliflower-like growths, or growths that are soft and fleshy. Genital herpes is accompanied by the presence of one or more vesicles that then rupture and heal.

Question 3 of 5

The nurse is caring for a client receiving chemotherapy. Which precaution is most important?

Correct Answer: D

Rationale: Monitoring for fever is critical, as chemotherapy increases infection risk due to immunosuppression.

Question 4 of 5

The nurse is assessing a client with a suspected appendicitis. Which of the following findings is most indicative of this condition?

Correct Answer: A

Rationale: Right lower quadrant pain is a hallmark sign of appendicitis due to localized peritoneal irritation.

Question 5 of 5

The nurse is conducting a counseling session with a client experiencing post traumatic stress disorder (PTSD) using a 2-way video telehealth system from the hospital to the client's home, which is 2 hours away from the nearest mental health facility. Which of the following are expected outcomes of using telehealth as a venue to provide health care to this client? Select all that apply. The client will:

Correct Answer: A,B,D

Rationale: Telehealth reduces travel time, minimizes triggers associated with visiting facilities, and provides access to mental health care, but it does not inherently shorten recovery time or provide group support unless specifically designed.

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