Questions 150

NCLEX-RN

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Question 1 of 5

When giving a change of shift report, which of the following statements by the nurse is not appropriate?

Correct Answer: C

Rationale: Subjective statements like 'contrary' are inappropriate in a professional report, as they lack objectivity and clinical relevance.

Question 2 of 5

A client returning from the postanesthesia care unit after transurethral resection of the prostate (TURP) has bladder irrigation running via a 3-way Foley catheter. The nurse should notify the primary health care provider if which color of urine is noted in the urinary drainage bag?

Correct Answer: B

Rationale: Bright red bleeding should be reported because it could indicate complications related to active bleeding. If the bladder irrigation is infusing at a sufficient rate, the urinary drainage will be pale pink. A dark pink color (sometimes referred to as punch-colored) indicates that the speed of the irrigation should be increased. Tea-colored urine is not seen after TURP but may be noted in the client with renal failure or other renal disorders.

Question 3 of 5

A client with a history of heart failure is admitted with dyspnea. The nurse should place the client in which of the following positions?

Correct Answer: A

Rationale: Fowler's position (semi-upright) reduces preload and eases breathing in heart failure.

Question 4 of 5

The nurse is caring for a client with a suspected urinary tract infection. Which symptom is most common?

Correct Answer: A

Rationale: Dysuria (painful urination) is the most common symptom of a urinary tract infection, reflecting bladder or urethral irritation.

Question 5 of 5

A client is prescribed morphine sulfate for postoperative pain. Which side effect should the nurse monitor for?

Correct Answer: C

Rationale: Morphine, an opioid, can cause respiratory depression, a serious side effect requiring close monitoring to ensure client safety.

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