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

Questions 149

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Question 1 of 5

The nurse recognizes that if eaten by a client, which food can alter results when stool is checked for occult blood?

Correct Answer: D

Rationale: Beef contains heme, which can cause a false-positive result in a fecal occult blood test. Other foods listed do not typically interfere.

Question 2 of 5

The nurse is precepting a student nurse on an orthopedic floor. The student nurse needs to insert an indwelling catheter into a male client. Which of the following statements by the student nurse are correct regarding insertion of the catheter? Select all that apply.

Correct Answer: A,B,C

Rationale: Aseptic technique, supine positioning, and sterile lubrication are correct for catheter insertion. Inflating the balloon with 5 cc is incorrect, as most catheters require 10 cc of sterile water for balloon inflation.

Question 3 of 5

A 35-year-old male comes into the clinic after he strains his back at work. The nurse anticipates the physician may suggest which topical anesthetic?

Correct Answer: D

Rationale: Capsaicin is a topical analgesic used for muscle pain, such as back strain. Aloe, zinc oxide, and hydrocortisone are not anesthetics.

Question 4 of 5

The nurse is assessing a client hospitalized with duodenal ulcer. Which finding should be reported to the doctor immediately?

Correct Answer: A

Rationale: A blood pressure of 82/60 and pulse of 120 indicate possible hypovolemic shock, likely due to gastrointestinal bleeding, which is a medical emergency requiring immediate reporting.

Question 5 of 5

A burn client is in the acute phase of burn care. The nurse assesses jugular vein distention, edema, urine output of 20 cc in 2 hours, and crackles on auscultation. Which order would the nurse anticipate from the physician?

Correct Answer: A

Rationale: Signs of fluid overload (JVD, edema, low urine output, crackles) suggest the need for furosemide (Lasix) to reduce excess fluid and prevent pulmonary edema.

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