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

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client's International Normalized Ratio (INR) is 4.0. What should the nurse do?

Correct Answer: B

Rationale: An INR of 4.0 is above the therapeutic range (2-3), indicating a risk of bleeding, so the nurse should hold the dose and notify the physician.

Question 3 of 5

A client with a history of type 1 diabetes is admitted with diabetic ketoacidosis. The nurse should prioritize which of the following interventions?

Correct Answer: A

Rationale: Intravenous regular insulin is the priority to lower blood glucose and halt ketogenesis in diabetic ketoacidosis.

Question 4 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 5 of 5

The nurse is caring for a client with a history of hyperthyroidism who is prescribed methimazole (Tapazole). The nurse should monitor the client for which of the following adverse effects?

Correct Answer: A

Rationale: Methimazole can cause agranulocytosis, a serious reduction in white blood cells, requiring monitoring.

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