Questions 150

NCLEX-RN

NCLEX-RN Test Bank

NCLEX RN Questions with Detailed Explanations Questions

Extract:


Question 1 of 5

The nurse should tell a client who is scheduled for a bone marrow biopsy that the specimen can be withdrawn from which site?

Correct Answer: D

Rationale: The most common sites for bone marrow biopsy in the adult are the iliac crest and the sternum. These areas are rich in bone marrow and are easily accessible for testing. The femur, scapula, and ribs are not sites for bone marrow biopsy.

Question 2 of 5

A client with a history of chronic kidney disease is prescribed epoetin alfa (Epogen). The nurse should monitor the client for which of the following adverse effects? Select all that apply.

Correct Answer: A, B, E

Rationale: Epoetin alfa can cause hypertension, thrombosis, and headache due to increased red blood cell production.

Question 3 of 5

A client has cystitis. The nurse should further assess the client for:

Correct Answer: D

Rationale: Foul-smelling urine is a common symptom of cystitis due to bacterial infection. Flank pain and oliguria are more indicative of pyelonephritis.

Question 4 of 5

A client with a history of heart failure is prescribed spironolactone (Aldactone). The nurse should monitor the client for which of the following electrolyte imbalances?

Correct Answer: A

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, requiring monitoring.

Question 5 of 5

The nurse holds the gauze pledget against an I.M. injection site while removing the needle from the muscle. This technique helps to:

Correct Answer: A

Rationale: Holding gauze against the injection site prevents medication leakage along the needle track, ensuring proper drug absorption.

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