Questions 151

NCLEX-RN

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Question 1 of 5

What type of immunity occurs when a person has an infectious, communicable disease like the measles?

Correct Answer: C

Rationale: Active natural immunity occurs when a person develops immunity after exposure to an infectious disease like measles, producing antibodies through natural infection.

Question 2 of 5

A 9-month-old child has been diagnosed with an ear infection. The father asks what else to do to help his child. The nurse can tell the father:

Correct Answer: B

Rationale: Antibiotics are the primary treatment for bacterial ear infections; antihistamines and eardrops are not typically recommended unless prescribed.

Question 3 of 5

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

Correct Answer: A

Rationale: Right upper quadrant pain is a hallmark sign of cholecystitis due to gallbladder inflammation.

Question 4 of 5

A client with a diagnosis of major depressive disorder is prescribed fluoxetine (Prozac). The nurse should instruct the client that it may take how long to notice the full therapeutic effect?

Correct Answer: C

Rationale: Fluoxetine, an SSRI, typically takes 3-4 weeks to achieve its full therapeutic effect in treating depression.

Question 5 of 5

A client with acute pancreatitis is put on nothing-by-mouth status, with the intent of not stimulating the pancreas. The client is prescribed an I.V. infusion of dextrose 5% in half-normal saline solution at 120 mL/hour. After 3 days of this regimen, the nurse should observe the client for which of the following metabolic conditions?

Correct Answer: B

Rationale: Dextrose 5% infusion can lead to hyperglycemia, especially in a client with acute pancreatitis, requiring monitoring.

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