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 recognizes which of the following as a dual diagnosis?

Correct Answer: C

Rationale: Dual diagnosis refers to a mental health disorder and a substance use disorder. Bipolar disorder and alcoholism fit this definition.

Question 2 of 5

The nurse is working in the trauma unit of the emergency room when a 24-year-old female is admitted after an MVA. The client is bleeding profusely and a blood transfusion is ordered. Which would the nurse be prepared to administer without a type and crossmatch?

Correct Answer: D

Rationale: O negative blood is the universal donor type, safe for transfusion without type and crossmatch in emergencies, as it lacks antigens that could cause reactions.

Question 3 of 5

Following a lumbar puncture, a client develops a severe headache that persists 24 hours and is unrelieved by bedrest or oral fluids. Which of the following interventions does the nurse anticipate?

Correct Answer: C

Rationale: A persistent post-lumbar puncture headache suggests CSF leak, treated with an epidural blood patch (
C). Prolonged bedrest (
A), opioids (
B), or IV fluids (
D) are less effective.

Question 4 of 5

A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?

Correct Answer: A

Rationale: Catheter tip in the right atrium is too far; infusion should be held and the MD notified (
A) for repositioning. Adjusting the catheter (B,
D) or starting infusion (
C) is unsafe.

Question 5 of 5

Which type of laxative agent is usually the safest for most people?

Correct Answer: A

Rationale: Bulk laxatives (
A), like fiber, are safest, promoting natural bowel movements with minimal side effects. Other types (B, C,
D) may cause dependency or electrolyte imbalances.

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