NCLEX Questions, NCLEX RN Practice Test Questions, NCLEX-RN Questions, Nurselytic

Questions 149

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Extract:


Question 1 of 5

The nurse understands that the diagnosis of oral cancer is confirmed with:

Correct Answer: A

Rationale: A biopsy provides definitive histological evidence of oral cancer, confirming the diagnosis.

Question 2 of 5

A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?

Correct Answer: C

Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.

Question 3 of 5

An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects

Correct Answer: D

Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.

Question 4 of 5

The nurse is precepting a student nurse on the medical-surgical unit. The student nurse is preparing to administer insulin. Which action by the student nurse calls for immediate intervention?

Correct Answer: B

Rationale: Regular insulin is the only type safe for IV administration; other insulins like NPH are not, requiring immediate intervention.

Question 5 of 5

A client complains of sharp, stabbing pain in the right lower quadrant that is graded as level 8 on a scale of 10. The nurse knows that pain of this severity can best be managed using:

Correct Answer: D

Rationale: Morphine sulfate is the most effective for severe, acute pain due to its strong opioid properties.

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